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NPI Code Detail

MEDICARE: DR. KEISHA YAHAGI M.D.

MEDICARE:  DR. KEISHA  YAHAGI  M.D.
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
12084P0800XPsychiatry PhysicianBP10040220TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
28FR668OTHERTXBCBS

General Provider Information

NPI Number : 1073953394
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KEISHA YAHAGI M.D.
Provider Business Mailing Address
First Line : 3840 HULEN ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76107-7277
Country : US
Telephone Number : 817-569-4395
Fax Number :
Provider Business Practice Location Address
First Line : 1500 S MAIN ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-4917
Country : US
Telephone Number : 817-927-3636
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2013
Last Update Date : 01/30/2026

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Directions to “ DR. KEISHA YAHAGI M.D.” Practice Location

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