Provider Demographics
NPI:1548494685
Name:YUGAL MAHESHWARI, M.D.,P.A.
Entity type:Organization
Organization Name:YUGAL MAHESHWARI, M.D.,P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YUGAL
Authorized Official - Middle Name:
Authorized Official - Last Name:MAHESHWARI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:409-899-2750
Mailing Address - Street 1:2194 EASTEX FWY STE B
Mailing Address - Street 2:PO BOX 5877
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77703-4981
Mailing Address - Country:US
Mailing Address - Phone:409-899-2750
Mailing Address - Fax:409-899-2757
Practice Address - Street 1:2194 EASTEX FWY STE B
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77703-4981
Practice Address - Country:US
Practice Address - Phone:409-899-2750
Practice Address - Fax:409-899-2757
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-04
Last Update Date:2009-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF2337207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00MA35OtherBLUE CROSS BLUE SHIELD
TX8F22034OtherINDIVIDUAL PTAN
TX1548494685OtherGROUP NPI
TX1750366324OtherINDIVIDUAL NPI
TX0A4731OtherGROUP PTAN
TX110458002Medicaid
TX110458002Medicaid