Provider Demographics
NPI:1033119748
Name:GAJULA, LEKA (MD)
Entity Type:Individual
Prefix:DR
First Name:LEKA
Middle Name:
Last Name:GAJULA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 711115
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77271-1115
Mailing Address - Country:US
Mailing Address - Phone:832-667-7355
Mailing Address - Fax:281-565-2009
Practice Address - Street 1:16651 SOUTHWEST FWY
Practice Address - Street 2:SUITE 370
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-2345
Practice Address - Country:US
Practice Address - Phone:832-667-7355
Practice Address - Fax:281-565-2009
Is Sole Proprietor?:No
Enumeration Date:2005-07-22
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK9274207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX117691904Medicaid
TX8C8243Medicare PIN