MEDICARE: ANIKA NAOMI GALAGODA

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	207V00000X	Obstetrics & Gynecology Physician	V0738	TX

General Provider Information

NPI Number	:	1326676529
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANIKA NAOMI GALAGODA

Provider Business Mailing Address
First Line	:	7900 FANNIN ST STE 2800
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-2960
Country	:	US
Telephone Number	:	713-658-0358
Fax Number	:

Provider Business Practice Location Address
First Line	:	7900 FANNIN ST STE 2800
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-2960
Country	:	US
Telephone Number	:	713-658-0358
Fax Number	:

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

Provider Enumeration Date	:	04/01/2020
Last Update Date	:	12/24/2025

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