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General NPI Number Information
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NPI Number | 1114451002
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Entity Type | Individual
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Provider Name | HIMANAYANI MAMILLAPALLI M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/18/2017
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 25282 NORTHWEST FWY STE 250
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City | CYPRESS
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State | TX
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Zip | 77429-1084
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Country | US
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Telephone | 281-392-3401
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Fax | 281-392-7814
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Provider Business Mailing Address
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Address Line | 5115 FANNIN ST STE 801
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City | HOUSTON
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State | TX
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Zip | 77004-5870
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Country | US
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Telephone | 713-558-9508
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 66965
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | V8682
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | V8682
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License Number State | TX
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