Healthcare Provider Details

I. General information

NPI: 1912101585
Provider Name (Legal Business Name): RANGANATH KANDALA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2007
Last Update Date: 07/13/2025
Certification Date: 07/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7102 TARRINGTON AVE # 602
SUGAR LAND TX
77479-7275
US

IV. Provider business mailing address

7102 TARRINGTON AVE # 602
SUGAR LAND TX
77479-7275
US

V. Phone/Fax

Practice location:
  • Phone: 281-240-0311
  • Fax: 281-240-0313
Mailing address:
  • Phone: 832-771-2601
  • Fax: 281-213-0169

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License NumberM8070
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: