Individual
MAHESH CANDIAH THIAGARAJAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 W MAIN ST, LEWISVILLE, TX 75057-3629
(972) 420-1000
Mailing address
5555 E MOCKINGBIRD LN, 1108, DALLAS, TX 75206-5364
(214) 217-1911
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
L9928
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
174068002
—
TX
05
—
174068003
—
TX
05
—
174068004
—
TX
01
—
8W0730
BCBS
TX
01
—
8W1782
BCBS
TX
01
—
P00364150
RAILROAD
TX
Enumeration date
06/19/2006
Last updated
07/19/2024
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