MEDICARE: RANDA DJENDOU 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	207R00000X	Internal Medicine Physician	P9838	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

General Provider Information

NPI Number	:	1922399856
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RANDA DJENDOU M.D

Provider Business Mailing Address
First Line	:	18700 KATY FWY STE 403
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77094-0012
Country	:	US
Telephone Number	:	832-522-8444
Fax Number	:	832-522-8445

Provider Business Practice Location Address
First Line	:	18700 KATY FWY STE 403
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77094-0012
Country	:	US
Telephone Number	:	832-522-8444
Fax Number	:	832-522-8445

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

Provider Enumeration Date	:	04/26/2011
Last Update Date	:	03/05/2026

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Directions to “ RANDA DJENDOU M.D” Practice Location

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