Provider Demographics
NPI:1780653162
Name:DHINGRA, YOGESH C (MD)
Entity Type:Individual
Prefix:DR
First Name:YOGESH
Middle Name:C
Last Name:DHINGRA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4304 N LAURENT ST
Mailing Address - Street 2:
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77901-2741
Mailing Address - Country:US
Mailing Address - Phone:361-573-4313
Mailing Address - Fax:361-573-4327
Practice Address - Street 1:4304 N LAURENT ST
Practice Address - Street 2:
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77901-2741
Practice Address - Country:US
Practice Address - Phone:361-573-4313
Practice Address - Fax:361-573-4327
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-16
Last Update Date:2017-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE7587208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX127140506Medicaid
TX130937907Medicaid
TX127140507Medicaid
TX127140507Medicaid