MEDICARE: KASHI S BAGRI MD PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	F3402	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	260001005	OTHER	TX	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0094RA	OTHER	TX	BCBS
3	4343827	OTHER		AETNA
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760686695
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KASHI S BAGRI MD PA

Provider Business Mailing Address
First Line	:	2194A EASTEX FWY
Second Line	:
City	:	BEAUMONT
State	:	TX
Zip	:	77703-4939
Country	:	US
Telephone Number	:	409-898-8820
Fax Number	:	409-899-3434

Provider Business Practice Location Address
First Line	:	2194A EASTEX FWY
Second Line	:
City	:	BEAUMONT
State	:	TX
Zip	:	77703-4939
Country	:	US
Telephone Number	:	409-898-8820
Fax Number	:	409-899-3434

Authorized Official
Title or Position	:	PHYSICIAN OWNER
Name	:	DR. KASHI S BAGRI
Credential	:	MD
Telephone Number	:	409-898-8820

Provider Enumeration Date	:	06/13/2007
Last Update Date	:	01/08/2014

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Directions to “KASHI S BAGRI MD PA ” Practice Location

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