Provider Demographics
NPI:1255217873
Name:VADLAPUDI, SRI SIVA SAI SANKALP
Entity type:Individual
Prefix:
First Name:SRI SIVA SAI SANKALP
Middle Name:
Last Name:VADLAPUDI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1361 BRIDGEFORD DR NW
Mailing Address - Street 2:
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-4500
Mailing Address - Country:US
Mailing Address - Phone:415-610-6297
Mailing Address - Fax:
Practice Address - Street 1:20190 MAIN ST E
Practice Address - Street 2:
Practice Address - City:HUNTINGDON
Practice Address - State:TN
Practice Address - Zip Code:38344-4119
Practice Address - Country:US
Practice Address - Phone:731-535-3522
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-12
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN49290183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist