Provider Demographics
NPI:1750366324
Name:MAHESHWARI, YUGAL KISHORE (MD)
Entity type:Individual
Prefix:
First Name:YUGAL
Middle Name:KISHORE
Last Name:MAHESHWARI
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 1:3406 COLLEGE ST STE 200
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77701-4612
Mailing Address - Country:US
Mailing Address - Phone:409-813-1677
Mailing Address - Fax:
Practice Address - Street 1:3480 COLLEGE ST
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77701-4612
Practice Address - Country:US
Practice Address - Phone:409-813-1677
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-07
Last Update Date:2024-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF2337207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8F22034OtherINDIVIDUAL PTAN
TX110458004OtherINDIVIDUAL TPI
TX1750366324OtherINDIVIDUAL NPI
TX280885901OtherGROUP TPI
TXOA4731OtherGROUP PTAN OA4731
TX1548494685OtherGROUP NPI
TX00MA35OtherBLUE CROSS
TX0A4731OtherGROUP PTAN
TXP000MA353Medicaid
TX8F22034OtherINDIVIDUAL PTAN