Provider Demographics
NPI:1730166075
Name:BAGRI, KASHI S (MD)
Entity type:Individual
Prefix:MRS
First Name:KASHI
Middle Name:S
Last Name:BAGRI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:2194A EASTEX FWY
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77703-4939
Mailing Address - Country:US
Mailing Address - Phone:409-898-8820
Mailing Address - Fax:409-899-3434
Practice Address - Street 1:2194A EASTEX FWY
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77703-4939
Practice Address - Country:US
Practice Address - Phone:409-898-8820
Practice Address - Fax:409-899-3434
Is Sole Proprietor?:No
Enumeration Date:2005-12-28
Last Update Date:2021-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF34022084P0805X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX260001005OtherPALMETTO RAILROAD MEDICAR
TX128409301Medicaid
TX00MH88OtherBLUE CROSS BLUE SHIELD
TX760026581OtherCOMMERICAL
TX00MH88OtherBLUE CROSS BLUE SHIELD
TX260001005OtherPALMETTO RAILROAD MEDICAR