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General NPI Number Information
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NPI Number | 1184107484
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Entity Type | Organization
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Legal Business Name | SUGAR LAND INTERNAL MEDICINE PLLC
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Dates
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Enumeration Date | 09/12/2018
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 7102 TARRINGTON AVE STE 602
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City | SUGAR LAND
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State | TX
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Zip | 77479-7275
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Country | US
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Telephone | 281-240-0311
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Fax | 281-213-0169
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Provider Business Mailing Address
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Address Line | 7102 TARRINGTON AVE # 602
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City | SUGAR LAND
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State | TX
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Zip | 77479-7275
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Country | US
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Telephone | 281-240-0311
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Fax | 281-240-0313
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Authorized Official
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Title or Position | MANAGER
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Name | DR. RANGANATH KANDALA
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Credential | MD
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Telephone | 281-240-0311
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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