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Lakshmy V. Ayyar, MD, FCCP is a pulmonologist at Texas Multi-Specialty Group with one office in Cypress and two in Houston, Texas. Dr. Ayyar is board certified in internal medicine, pulmonary disease, critical care, and sleep medicine. Her special interests include pulmonary disease and sleep medicine.

A native of India, Dr. Ayyar’s path to her medical career began at MGM Institute of Health Sciences in Kamothe, Navi Mumbai, where she earned her medical degree. She then came to the United States to complete residency training at the University at Buffalo, The State University of New York. She rounded out her postdoctoral clinical education with a fellowship at Baylor College of Medicine in Houston.

Dr. Ayyar enjoys helping her patients at Texas Multi-Specialty Group. When she isn’t practicing medicine, she is active in medical and professional societies, including the Texas Medical Association and the Harris County Medical Society.

Srinivas Vodnala, MD, FCCP, is a pulmonologist at Texas Multi-Specialty Group with offices in Cypress and the Methodist Willowbrook and Fallbrook neighborhoods of Houston, Texas. Dr. Vodnala is board certified in internal medicine, critical care, and pulmonary disease.

Dr. Vodnala began his medical career at Kasturba Medical College in Manipal, India, where he earned his medical degree. He then completed his residency training at Saint Vincent's Catholic Medical Center in New York City. He finished his postdoctoral clinical education with fellowships at Saint Vincent's Catholic Medical Center and Albert Einstein Medical Center.

Dr. Vodnala is a member of the American College of Chest Physicians, the American Thoracic Society, and the Society of Critical Care Medicine. He is also a member of the Harris County Medical Society and the Texas Medical Association, the largest county and state medical associations in the nation.

For top-quality, evidence-based care in the Houston area, call one of the offices or schedule an appointment today.

Harman Kular, MD specializes in critical care and pulmonary medicine. He is board certified in internal medicine and pulmonary medicine and board eligible in critical care. Dr. Kular completed all of his medical educaton and training through Baylor College of Medicine, which allowed him to practice in a wide variety of settings within the Texas Medical Center, including the Harris Health System and the Veterans Affairs Health System. He believes in providing evidence-based, patient-centered care and has experience with a full spectrum of pulmonary conditions including infectious diseases as well as pleural and lung malignancies. 

Dr. Kular was born and raised in South Texas. He is a proud Houstonian, a faithful Astros fan and a Tex-Mex connoisseur. He lives in Houston with his wife, Sonia, and puppy, Sammy. 

Dileep Puppala, MD, FCCP, FAASM, is a pulmonologist at Texas Multi-Specialty Group, located in Houston and Cypress, Texas. Dr. Puppala is board certified in pulmonary, critical care, and sleep medicine. He has been in practice for 12 years throughout northwest Houston. 

Dr. Puppala earned his medical degree from Andhra Pradesh University Of Medical Sciences in India. He completed his residency in internal medicine at Saint Vincent's Catholic Medical Center in New York City. Following residency, Dr. Puppala completed a sleep fellowship at Sleep and Wake Disorder Center at New York Hospital - Cornell University, and two pulmonary and critical care fellowships at Memorial Sloan-Kettering and The New York Hospital Medical Center of Queens.

Dr. Puppala has extensive experience in medical leadership. He served as the Medical Director of the medical and surgical intensive care department, the Medical Director of respiratory therapy, and the Chairman of the critical care committee at Houston Methodist Willowbrook Hospital. Since 2004, Dr. Puppala has held the position of Medical Director of the sleep disorder center at Cypress Fairbanks Medical Center in Harris County, Texas. He is also a member of Infection Control and Pharmacy and Therapeutics, Co-Director of Critical Care Services and Respiratory Therapy Departments, and Co-Chairman of Critical Care Committee at North Cypress Medical Center in Cypress, Texas.

Dr. Puppala remains active in his field and holds memberships with many professional organizations. He is a member of the American College of Chest Physicians, the American Medical Association, the Texas Medical Association, the American Academy of Sleep Medicine, and the American Association of Physicians of Indian Origin. 

Dr. Puppala has special interests in complicated sleep-disordered breathing, narcolepsy, parasomnias, pulmonary hypertension, pulmonary embolism, interstitial lung diseases, lung cancer, pneumonia, asthma, and more. He performs specialized procedures including bronchoscopy with transbronchial lung biopsies, complicated airway management, percutaneous tracheostomy, chest tube placement, and pulmonary artery catheter placement. He interprets pulmonary function tests, methacholine challenge tests, cardiopulmonary stress tests, diagnostic sleep studies, CPAP titration studies, and multiple sleep latency tests. 

When he’s not working, Dr. Puppala enjoys spending time with his wife and two sons. His hobbies include traveling, tennis, reading about world affairs, and cooking.

Annie Chang, PA-C, is a board-certified physician assistant at Heights Dermatology in Houston. 

Annie is originally from the Houston area and attended high school at St. Agnes Academy. She graduated from the University of Texas with a Bachelor of Science and Arts in Nutrition in Business. She obtained her Master of Physician Assistant Studies from UTMB in 2019. 

Before completing her graduate studies, she gained hands-on experience working as a clinical care coordinator in hepatology at the Houston Medical Center.

In addition to her background in nutrition, Annie holds a keen interest in skin care and in preventative medicine through lifestyle and diet. Building a strong relationship with every patient is an integral part of her practice. Having received personal training in dermatology from Dr. Alpesh Desai, DO, and Tejas Desai, DO, Annie practices medical dermatology, skin cancer surgeries, and other various skin procedures. Annie regularly pursues her continuing medical education in dermatology to provide the highest quality care for her patients.

She is currently a member of the Society of Dermatology Physician Assistants, American Academy of Physician Assistants, Texas Association of Physician Assistants, and Texas Gulf Coast Physician Assistant Association. In her free time, Annie enjoys cooking, crafting, and spending time with her husband and English bulldog, Rex.

As an adult Psychiatrist, Neha Patel, DO, understands just how essential outstanding health services are in reshaping lives and improving patient outcomes. As part of the team at Endocrine and Psychiatry Center, Dr. Patel gets to know those in her care, building trusting bonds with residents of Houston, Texas.

Education has always shaped Dr. Patel’s life. She earned her medical degree from the University of Texas Medical Branch in Galveston. Dr. Patel went on to complete her residency in psychiatry at the same institution. 

Dr. Patel enjoys the challenges and complexity of working in psychiatry and especially loves helping those in her care find a path toward enhanced stability and mental health. She strives to build lasting bonds with patients. 

Residents of the greater Houston region who are 18 and older and want to make the most of their daily mental health and wellness are welcome to come in and meet with Dr. Patel to discuss treatment structure and planning. Book a visit online or by phone to learn more about her approach to mental health.  

Tess Chamakkala, DO, is excited to join the team at Endocrine and Psychiatry Center in Katy and Houston, Texas. As a skilled endocrinologist, Dr. Chamakkala is passionate about general adult endocrinology and managing conditions, including diabetes, thyroid and parathyroid disorders, and osteoporosis.

She completed her undergraduate studies at Fordham University in the Bronx neighborhood of New York City, New York, earning her Bachelor of Science in Biology. From there, she attended medical school at the New York Institute of Technology’s College of Osteopathic Medicine on Long Island. She underwent rigorous Internal Medicine residency training and later completed an Endocrinology fellowship through St. Luke’s University Health Network in Pennsylvania. She recently relocated to Texas. 

With this experience and enthusiasm for the progression of medicine, Dr. Chamakkala looks forward to welcoming new and returning patients to the practice. Contact the office nearest you to schedule an appointment or consult with Dr. Chamakkala. 

Kumari Iyer, MD is one of the newest providers who joined Magnolia Family Medicine in the summer of 2025. She sees patients at the Cypress location around the Copperfield community at 15322 Copper Grove Blvd, Houston, TX 77095.

Dr. Iyer brings with her a wealth of experience from having worked in different healthcare fields in California and Tennessee, such as emergency medicine, urgent care, hospice and palliative care, and geriatric and outpatient primary care—her personal passion.

Dr. Iyer graduated from East Tennessee State University in 1998 and is board certified in internal medicine. She is fluent in both English and Tamil. As a mother of three, she enjoys time with her family aside from spending time in her kitchen and tending her garden. 

With years of dedication and service under her belt, Dr. Iyer is committed to delivering compassionate, personalized medical care to you and your family members. You may call (281) 356-1945 or click the “Schedule Appointment” button to select your desired date and time. For your convenience, she sees patients on Tuesdays, Wednesdays, and Thursdays until 7 pm.

Srinivas Vodnala, MD, FCCP, is a pulmonologist at Texas Multi-Specialty Group with offices in Cypress and the Methodist Willowbrook and Fallbrook neighborhoods of Houston, Texas. Dr. Vodnala is board certified in internal medicine, critical care, and pulmonary disease.

Dr. Vodnala began his medical career at Kasturba Medical College in Manipal, India, where he earned his medical degree. He then completed his residency training at Saint Vincent's Catholic Medical Center in New York City. He finished his postdoctoral clinical education with fellowships at Saint Vincent's Catholic Medical Center and Albert Einstein Medical Center.

Dr. Vodnala is a member of the American College of Chest Physicians, the American Thoracic Society, and the Society of Critical Care Medicine. He is also a member of the Harris County Medical Society and the Texas Medical Association, the largest county and state medical associations in the nation.

For top-quality, evidence-based care in the Houston area, call one of the offices or schedule an appointment today.