Shama Salman Bandeali

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

1035052 Issued in TX

Practice address

6624 Fannin St
Houston, TX 77030-2312

Phone

(832) 736-7554

Fax

(832) 900-4927

NPI assigned

Apr 26, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: sbandeali18635@directhoustonmethodist.org

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1619395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619395200000",
    "number": "1861074239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 MONARCH TRL",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774982522",
            "telephone_number": "713-855-1682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6624 FANNIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302312",
            "telephone_number": "832-736-7554",
            "fax_number": "832-900-4927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANDEALI",
        "first_name": "SHAMA",
        "middle_name": "SALMAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-26",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "871632",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1035052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mia Banda
• Avanti Bande, LPC, CEDS, NCC
• Karthik Ranganath Bande, MD
• Barkatali K Bandeali, D.O.
• Salman Jamaluddin Bandeali, M.D
• Cynthia Bandemer, MA, MPH, LPC
• Subhadra Bandhakavi, M.D.
• Durga Bhavani Bandi, MD
• Srijaya Bandi, M.D.
• Venkata Bandi, MD

• Acute Care Nurse Practitioner in Houston, TX
• Providers in Houston, TX by specialty
• Acute Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.