Provider Demographics
NPI:1114451002
Name:MAMILLAPALLI, HIMANAYANI (MD)
Entity type:Individual
Prefix:
First Name:HIMANAYANI
Middle Name:
Last Name:MAMILLAPALLI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5115 FANNIN ST STE 801
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-5870
Mailing Address - Country:US
Mailing Address - Phone:713-558-9508
Mailing Address - Fax:
Practice Address - Street 1:25282 NORTHWEST FWY STE 250
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-1084
Practice Address - Country:US
Practice Address - Phone:281-392-3401
Practice Address - Fax:281-392-7814
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-18
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN66965208M00000X
TXV8682207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology