I enjoy practicing all aspects of Family Medicine. I am board certified in Family Medicine, and have been in practice for over 40 years. I recently joined the primary care clinic in Angleton and enjoy it very much. It reminds of the small town I grew up in, in Oklahoma. I especially enjoy the drive over along the Bluewater highway.

My wife and I moved to Galveston in 2003. We love living on the beach and visiting our grandchildren.

I am MBSR (Mindfulness Base Stress Reduction) certified, and a Board-certified pediatrician, with a passion for promoting well-being and mental health.

When not working with patients, I love to travel with my family and explore new cultures. I enjoy going to musical theater a passion I share with my kids. I also enjoy reading and attending book club with friends, where I can engage in lively discussion about literature and life.

My ultimate goal is to provide the best care possible to patients as they navigate through each developmental stage. I believe in being there for patients and their families during the process, offering support and guidance every step of the way.

 Provider is LGBTQIA+ Responsive

Dr. Karl Crudo is board certified in Family Medicine by the American Board of Family Medicine. He completed his residency at the Western Pennsylvania Hospital - Forbes Campus in Pittsburgh, Pa., and received his medical degree from the University of Santo Tomas, Philippines.

Dr. Saloni Majmudar joined UTMB Community Based Clinics in 1997. She is board certified by the American Board of Pediatrics. Dr. Majmudar completed her residency in Pediatrics at the University of Texas Medical Branch in Galveston. She earned her medical degree from King Edward Memorial Hospital and Seth G.S. Medical College in Bombay, India and received her higher secondary certificate exam in pre-med from D.G. Ruparel College University of Bombay, India.

Dr. Majmudar has a special interest in helping children grow up to be healthy adults, promoting breastfeeding, and treating children who suffer from asthma and allergies. Dr. Majmudar is an active volunteer speaker for a local elementary school where she educates children about health issues. Dr. Majmudar enjoys serving as a preceptor for medical students and residents. She is multilingual and speaks English, Spanish, Hindi, Gujarati and Marathi.

Dr. Shauntrell B Sarvaunt has over 15 years of nursing experience in Obstetrics and Gynecology at the University of Texas Medical Branch. She holds the title of clinic director at the Texas City RMCHP clinic. She was born and raised in Louisiana. She completed her Doctor of Nursing Practice degree from Grand Canyon University with a published study that focused on improving recognition of depression among postpartum mothers. Nursing is her passion, and she is committed to providing high-quality health care.

Sini Thomas is a dedicated Nurse Practitioner committed to delivering exceptional patient care. Her clinical expertise encompasses health promotion, wellness, primary care, and chronic care management.

Sini earned her undergraduate degree in nursing from St. John's Medical College in Bangalore, India, in 2000. She further advanced her education at the University of Texas Medical Branch (UTMB), where she graduated with a Master of Science in Nursing in 2016, specializing as a Family Nurse Practitioner. Sini is credentialed by the American Association of Nurse Practitioners (AANP).

On a personal note, Sini is actively involved in her community as a case worker for the American Red Cross. She values quality time with her family and enjoys watching movies, cooking, and traveling.

Dr. Christine Shokrzadeh received her MD from the University of Texas Health Science Center at San Antonio and completed her residency in Vasculary Surgery at the University of Texas Medical Branch in Galveston. Clinically her interests relate to aortic disease, carotid artery disease, peripheral vascular disease, venous disease, hemodialysis access creation and management, endovascular and minimally invasive vascular surgery.

Dr. Kyralessa B. Ramirez joined the UTMB League City Pediatric and Adult Primary Care clinic in January 2012.  Prior to joining UTMB, she worked for 2 years in South Houston at a pediatric private practice.

Dr. Ramirez received her medical degree, Magna Cum Laude, from Instituto Tecnologico de Santo Domingo.  She attended the University of Texas Medical Branch, Galveston where she completed her pediatric residency in 2009.

Dr. Ramirez's clinical interests include the prevention and treatment of common pediatrics illnesses, specifically ear infections. She is interested in the treatment of eczema as well as other common skin disorders, preventive pediatrics and anticipatory guidance.  She enjoys helping new parents with their newborn babies, counseling them about breastfeeding and infant safety. Dr. Ramirez is fluent in English and Spanish.  She is married to Dr. Rafael A. Fonseca, a faculty member in the Department of Neonatology at UTMB, Galveston.  She enjoys taking care of a diverse population of patients.

Dr. Isaac J. Koh, MD, MPH, FAAFP is a board certified family medicine physician. He graduated from Loma Linda University School of Medicine in California in 2017 and completed his family medicine residency at Soin Medical Center in Beavercreek, Ohio in 2020 during which he received the Society of Teachers in Family Medicine Resident Teaching Award. He started his career as core faculty for Kettering Health’s family medicine and transitional year residency. Since then, he received the Degree of Fellow from the American Academy of Family Medicine, coauthored a $1.9M US FDA HRSA Grant dedicated to rural healthcare, was promoted to Program Director to train transitional resident physicians at Soin Medical Center, and appointed Assistant Dean for Loma Linda University medical students at the Ohio-based regional campus. In 2022, he and his wife welcomed their first child and priorities in life changed. In 2023, he and his wife decided to move closer to a large, extended family in the Houston and Galveston area.

As a family physician, I strive to deliver timely, dynamic, compassionate, and evidence-based care to all patients from all walks of life. And I look forward to serving the Friendswood and surrounding area with the experience and capabilities I have gleaned thus far.

The two things that have driven me the most in my career have been problem solving patient’s needs, and teaching - whether it be patients, medical students, resident physicians, peers, or kids on the soccer pitch. When I am not at work, I enjoy watching all sports, digital and analog photography, and exploring and traveling with my wife and son.

I grew up in Clear Lake myself, so I was very excited to become a part of this UTMB Clear Lake family. I attended the University of Houston – Main Campus for my bachelor’s degree, and I completed my medical training (medical school and my pediatric residency) in the large Texas Medical Center in Houston. In 2023, I moved back to Clear Lake so that I could give back to this wonderful community.

I have a wonderful husband, and we are lucky to have both our families and fur-siblings in the area. My hobbies include playing tennis (when it’s not too hot outside), playing the piano, and spending quality time with family and friends.

Pediatrics has been my calling since high school. I am blessed to have the opportunity to be able to educate and comfort patients and their family members in some of their most stressful times. I love that I get to watch these children grow from newborns into wonderful young adults and help them along the way.

Being a growing child (or even raising one) isn’t easy! Every patient brings their own story, challenges, and personality, and each of them has something to teach me. I just strive to be a positive light during their journeys and work to keep my patients safe, healthy, and happy.