MEDICARE: SWETA SRI KOMANDURU DO

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	2084N0400X	Neurology Physician	5151015701	MI
2	2084N0008X	Neuromuscular Medicine (Psychiatry & Neurology) Physician	W5413	TX

General Provider Information

NPI Number	:	1134861081
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SWETA SRI KOMANDURU DO

Provider Business Mailing Address
First Line	:	6560 FANNIN ST STE 802
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-2726
Country	:	US
Telephone Number	:	713-441-3780
Fax Number	:	713-441-3780

Provider Business Practice Location Address
First Line	:	6560 FANNIN ST STE 802
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-2726
Country	:	US
Telephone Number	:	713-441-3780
Fax Number	:	713-441-3780

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

Provider Enumeration Date	:	04/11/2022
Last Update Date	:	06/15/2026

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Directions to “ SWETA SRI KOMANDURU DO” Practice Location

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