MEDICARE: KEJAL MAHARSHI YAGNIK (DMD)

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	122300000X	Dentist	26147	TX

General Provider Information

NPI Number	:	1881821767
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEJAL MAHARSHI YAGNIK (DMD)

Provider Business Mailing Address
First Line	:	8568 HIGHWAY 6 N
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77095-2242
Country	:	US
Telephone Number	:	832-726-8793
Fax Number	:

Provider Business Practice Location Address
First Line	:	8568 HIGHWAY 6 N
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77095-2242
Country	:	US
Telephone Number	:	832-674-8043
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2009
Last Update Date	:	10/01/2015

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Directions to “ KEJAL MAHARSHI YAGNIK (DMD)” Practice Location

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