Provider Demographics
NPI:1124092556
Name:DAYAL, MOLINA BHATNAGAR (MD)
Entity type:Individual
Prefix:DR
First Name:MOLINA
Middle Name:BHATNAGAR
Last Name:DAYAL
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Gender:F
Credentials:MD
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Mailing Address - Street 1:5320 S. RAINBOW BLVD
Mailing Address - Street 2:STE 300
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-1840
Mailing Address - Country:US
Mailing Address - Phone:702-794-0073
Mailing Address - Fax:701-794-0042
Practice Address - Street 1:555 NEW BALLAS RD
Practice Address - Street 2:STE 150
Practice Address - City:ST. LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141
Practice Address - Country:US
Practice Address - Phone:314-983-9000
Practice Address - Fax:314-983-9023
Is Sole Proprietor?:No
Enumeration Date:2006-02-14
Last Update Date:2016-01-25
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Provider Licenses
StateLicense IDTaxonomies
MO2012022438207VE0102X
DCMD34153207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC034864300Medicaid
DC011979M83Medicare ID - Type Unspecified
DC034864300Medicaid