VKN Health Services PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

Q2734 Issued in TX

Legal business name

VKN HEALTH SERVICES PLLC

Practice address

1209 Rothschild Blvd
Southlake, TX 76092-1404

Phone

(614) 314-8366

NPI assigned

Jan 11, 2016

Organization subpart

No

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

Authorized official

Name

Grageyi Bandaru, MD

Title

Owner

Phone

(614) 873-5184

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gargeyi Bandaru, MD

  • Internal Medicine Physician
  • Fort Worth, TX
  • NPI 1528040193
  Medicare reassignment NPD

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

{
    "created_epoch": "1452470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750636800000",
    "number": "1972969640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 BOX CANYON CT",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760514719",
            "telephone_number": "614-873-5184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 ROTHSCHILD BLVD",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760921404",
            "telephone_number": "614-314-8366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VKN HEALTH SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-11",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A",
        "authorized_official_last_name": "BANDARU",
        "authorized_official_first_name": "GRAGEYI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-873-5184",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "Q2734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Southlake, TX
• Providers in Southlake, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.