MEDICARE: PRAMEELA YOGANANDAN 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	207PE0004X	Emergency Medical Services (Emergency Medicine) Physician	M0995	TX
2	208M00000X	Hospitalist Physician	M0995	TX
3	207QA0505X	Adult Medicine Physician	M0995	TX
4	207QA0505X	Adult Medicine Physician	MO995	TX
5	207Q00000X	Family Medicine Physician	M0995	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811949290
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PRAMEELA YOGANANDAN M.D.

Provider Business Mailing Address
First Line	:	16811 SOUTHWEST FWY STE 300
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-4728
Country	:	US
Telephone Number	:	432-923-1961
Fax Number	:

Provider Business Practice Location Address
First Line	:	16811 SOUTHWEST FWY STE 300
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-4728
Country	:	US
Telephone Number	:	432-923-1961
Fax Number	:

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

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	02/21/2026

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