Provider Demographics
NPI:1568036556
Name:YAGNIK, RIDDHI (DPM)
Entity type:Individual
Prefix:DR
First Name:RIDDHI
Middle Name:
Last Name:YAGNIK
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:MISS
Other - First Name:RIDDHI
Other - Middle Name:
Other - Last Name:YAGNIK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DPM
Mailing Address - Street 1:903 W MARTIN ST # MS 49-2
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78207-0903
Mailing Address - Country:US
Mailing Address - Phone:201-358-5909
Mailing Address - Fax:210-358-5940
Practice Address - Street 1:701 S ZARZAMORA ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78207-5209
Practice Address - Country:US
Practice Address - Phone:210-358-7710
Practice Address - Fax:210-358-7707
Is Sole Proprietor?:No
Enumeration Date:2021-05-14
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX692180213E00000X
TX390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist