Provider Demographics
NPI:1467458299
Name:KANOJIA, UMA MAHESH (MD)
Entity Type:Individual
Prefix:
First Name:UMA
Middle Name:MAHESH
Last Name:KANOJIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3455 STAGG DR
Mailing Address - Street 2:STE 101
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77701-4520
Mailing Address - Country:US
Mailing Address - Phone:409-835-2082
Mailing Address - Fax:409-835-3943
Practice Address - Street 1:3455 STAGG DR
Practice Address - Street 2:STE 101
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77701-4520
Practice Address - Country:US
Practice Address - Phone:409-835-2082
Practice Address - Fax:409-835-3943
Is Sole Proprietor?:No
Enumeration Date:2005-06-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF8908174400000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX121049401Medicaid
TX121049401Medicaid