Healthcare Provider Details

I. General information

NPI: 1174771679
Provider Name (Legal Business Name): VANDANA SHRIKANTH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: VANDANA KARANALA

II. Dates (important events)

Enumeration Date: 09/09/2008
Last Update Date: 11/18/2025
Certification Date: 11/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1415 CALIFORNIA ST
HOUSTON TX
77006-2602
US

IV. Provider business mailing address

PO BOX 66308
HOUSTON TX
77266-6308
US

V. Phone/Fax

Practice location:
  • Phone: 832-548-5000
  • Fax: 713-559-3255
Mailing address:
  • Phone: 832-548-5000
  • Fax: 713-559-3255

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberP6842
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: