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Yasir Akram, MD, MPH, FACC, FSCAI, is an accomplished interventional and general cardiologist at Apex Heart & Vascular Center, serving patients in Houston, Tomball, and Cypress, Texas. Known for his clinical expertise and extensive research background, Dr. Akram provides comprehensive care for a range of heart, peripheral arterial, and venous conditions.

Dr. Akram’s training spans Internal Medicine, Preventive Medicine, cardiovascular disease, and interventional cardiology. He is highly skilled in advanced diagnostic and therapeutic procedures, including balloon angioplasty and complex percutaneous coronary and peripheral vascular interventions. His specialties also include advanced cardiac support techniques, such as the Impella heart pump and intra-aortic balloon pump.

In addition, Dr. Akram performs structural heart procedures, such as PFO and ASD closures, and is proficient in implanting loop recorders and pacemakers. He is a recognized expert in venous thromboembolism management, endovascular venous ablation, and vent seal techniques. His capabilities extend to performing transthoracic and transesophageal echocardiography, as well as stress SPECT and PET imaging.

Dr. Akram holds fellowship status with the American College of Cardiology (ACC) and is board-certified in Echocardiography, Nuclear Cardiology, and Vascular Ultrasound (RPVI). His Preventive Medicine board certification underscores his commitment to reducing cardiac risk factors through preventive care. A published author in leading medical journals, Dr. Akram continues to contribute to advancements in cardiovascular science.

At Apex Heart & Vascular Center, Dr. Akram is dedicated to delivering exceptional, evidence-based cardiovascular care. His advanced training, board certifications, and dedication to preventative cardiology enable him to provide high-quality care and innovative treatment options to his patients.

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.

Andrew Martin, MSN, APRN, FNP-C, is a board-certified family nurse practitioner at Southern Secrets Med Spa and Clinic in Conroe, Texas. He takes a integrative approach to healing that avoids overreliance on pharmaceuticals.

Andrew earned an associate’s degree at the Lower Columbia College, College of Nursing in Longview, Washington, before completing his Bachelor of Science in nursing with honors at the University of Texas College of Nursing in Arlington. He fulfilled a master’s degree and post-graduate program at the University of Texas Health Science Center in Houston to earn the family nurse practitioner credentials and certification in emergency and trauma. 

Before joining Southern Secrets Med Spa and Clinic, Andrew worked as an emergency center staff nurse in the busiest Level III trauma center in Texas and as a charge nurse in a chemical detox unit. He is a member of the American Academy of Emergency Nurse Practitioners, the American Association of Nurse Practitioners, and the Sigma Theta Tau.

When he’s not at work, Andrew enjoys spending time with his wife and four children. He likes being outdoors, hiking, hunting, fishing, and hopes to obtain his pilot’s license someday.

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.