Provider Demographics
NPI:1407111578
Name:VANKAYALAPATI, HIMASRI
Entity type:Individual
Prefix:MRS
First Name:HIMASRI
Middle Name:
Last Name:VANKAYALAPATI
Suffix:
Gender:
Credentials:
Other - Prefix:MRS
Other - First Name:HIMASRI
Other - Middle Name:
Other - Last Name:AMIRINENI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5029 SUMMER SOLSTICE PL
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21043-7498
Mailing Address - Country:US
Mailing Address - Phone:678-464-4763
Mailing Address - Fax:
Practice Address - Street 1:1000 E EAGER ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21202-5533
Practice Address - Country:US
Practice Address - Phone:443-703-3450
Practice Address - Fax:410-342-0002
Is Sole Proprietor?:No
Enumeration Date:2012-07-05
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD20665183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist