MEDICARE: YUGAL MAHESHWARI, M.D.,P.A.

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	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	F2337	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00MA35	OTHER	TX	BLUE CROSS BLUE SHIELD
2	8F22034	OTHER	TX	INDIVIDUAL PTAN
3	1548494685	OTHER	TX	GROUP NPI
4	1750366324	OTHER	TX	INDIVIDUAL NPI
5	0A4731	OTHER	TX	GROUP PTAN
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548494685
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YUGAL MAHESHWARI, M.D.,P.A.

Provider Business Mailing Address
First Line	:	2194 EASTEX FWY STE B
Second Line	:	PO BOX 5877
City	:	BEAUMONT
State	:	TX
Zip	:	77703-4981
Country	:	US
Telephone Number	:	409-899-2750
Fax Number	:	409-899-2757

Provider Business Practice Location Address
First Line	:	2194 EASTEX FWY STE B
Second Line	:
City	:	BEAUMONT
State	:	TX
Zip	:	77703-4981
Country	:	US
Telephone Number	:	409-899-2750
Fax Number	:	409-899-2757

Authorized Official
Title or Position	:	PRESIDENT
Name	:	YUGAL MAHESHWARI
Credential	:	M.D.
Telephone Number	:	409-899-2750

Provider Enumeration Date	:	05/04/2009
Last Update Date	:	08/24/2009

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