MEDICARE: REKHA PANDULA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	MD435531	PA
2	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	N4647	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P01437140	OTHER	TX	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	8FT337	OTHER	TX	BLUE CROSS BLUE SHIELD
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	8EJ187	OTHER	TX	BLUE CROSS BLUE SHIELD
6	8CN620	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1134183585
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REKHA PANDULA M.D.

Provider Business Mailing Address
First Line	:	3737 MARKET ST
Second Line	:	9TH FL
City	:	PHILADELPHIA
State	:	PA
Zip	:	19104
Country	:	US
Telephone Number	:	215-662-9700
Fax Number	:	717-544-3638

Provider Business Practice Location Address
First Line	:	13300 HARGRAVE RD STE 300
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77070-4374
Country	:	US
Telephone Number	:	281-737-1171
Fax Number	:	281-737-1172

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/13/2006
Last Update Date	:	06/01/2026

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Directions to “ REKHA PANDULA M.D.” Practice Location

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