Provider Demographics
NPI:1568036556
Name:YAGNIK, RIDDHI (DPM)
Entity Type:Individual
Prefix:DR
First Name:RIDDHI
Middle Name:
Last Name:YAGNIK
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:MISS
Other - First Name:RIDDHI
Other - Middle Name:
Other - Last Name:YAGNIK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DPM
Mailing Address - Street 1:5223 HARVEST BEND CT
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-4215
Mailing Address - Country:US
Mailing Address - Phone:832-278-8400
Mailing Address - Fax:
Practice Address - Street 1:5223 HARVEST BEND CT
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-4215
Practice Address - Country:US
Practice Address - Phone:832-278-8400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-14
Last Update Date:2021-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program