Healthcare Provider Details

I. General information

NPI: 1043716632
Provider Name (Legal Business Name): KARTHIK RANGANATH BANDE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2018
Last Update Date: 10/10/2025
Certification Date: 10/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6720 BERTNER AVE
HOUSTON TX
77030-2604
US

IV. Provider business mailing address

6410 FANNIN ST STE 1400
HOUSTON TX
77030-5389
US

V. Phone/Fax

Practice location:
  • Phone: 713-798-1000
  • Fax:
Mailing address:
  • Phone: 832-325-7125
  • Fax: 713-512-2200

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberV0687
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License NumberV0687
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: