Provider Demographics
NPI:1831154897
Name:PAI, YOGESH GOVINDARAYA (MD)
Entity type:Individual
Prefix:DR
First Name:YOGESH
Middle Name:GOVINDARAYA
Last Name:PAI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 846098
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-6098
Mailing Address - Country:US
Mailing Address - Phone:903-606-6400
Mailing Address - Fax:903-606-1522
Practice Address - Street 1:105 ZEID BLVD
Practice Address - Street 2:MED BLDG #2
Practice Address - City:HENDERSON
Practice Address - State:TX
Practice Address - Zip Code:75652-6070
Practice Address - Country:US
Practice Address - Phone:903-315-5612
Practice Address - Fax:903-657-4085
Is Sole Proprietor?:No
Enumeration Date:2006-04-20
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301061361208000000X
TXK1606208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0037AROtherBLUE CROSS BLUE SHIELD
TX0921223-01Medicaid
TX0921223-02Medicaid
TX0921223-01Medicaid