MEDICARE: YUGAL MAHESHWARI,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	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	F2337	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	110458004	OTHER	TX	INDIVIDUAL TPI
2	8F22034	OTHER	TX	INDIVIDUAL PTAN
3	OA4731	OTHER	TX	GROUP PTAN
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	280885901	OTHER	TX	GROUP TPI
6	1548494685	OTHER	TX	GROUP NPI
7	1750366324	OTHER	TX	INDIVIDUAL NPI

General Provider Information

NPI Number	:	1760732069
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YUGAL MAHESHWARI,MD,PA

Provider Business Mailing Address
First Line	:	2194-B, EASTEX FREEWAY
Second Line	:
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-B, EASTEX FREEWAY
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	:	MD
Telephone Number	:	409-899-2750

Provider Enumeration Date	:	09/13/2012
Last Update Date	:	09/13/2012

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