Provider Demographics
NPI:1619293842
Name:YOGISH KAMATH MD PA
Entity Type:Organization
Organization Name:YOGISH KAMATH MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:YOGISH
Authorized Official - Middle Name:
Authorized Official - Last Name:KAMATH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:940-322-1075
Mailing Address - Street 1:3939 KELL BLVD
Mailing Address - Street 2:
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76308-1523
Mailing Address - Country:US
Mailing Address - Phone:940-341-2767
Mailing Address - Fax:
Practice Address - Street 1:3939 KELL BLVD
Practice Address - Street 2:
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76308-1523
Practice Address - Country:US
Practice Address - Phone:940-341-2767
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-13
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty