Individual
YASHASH PATHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16605 SOUTHWEST FWY, SUITE 175, SUGAR LAND, TX 77479-0003
(713) 777-5334
(713) 429-5207
Mailing address
6411 FANNIN ST, HOUSTON, TX 77030-1501
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
P9688
TX
208M00000X
Hospitalist Physician
Primary
P9688
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
342257801
—
TX
01
—
367026YT8B
MEDICARE
TX
01
—
8EV375
BCBS TX
TX
01
—
P01362982
RR MEDICARE
TX
Enumeration date
10/01/2008
Last updated
09/11/2024
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