Provider Demographics
NPI:1730371113
Name:KALYANAPU, DOROTHY MARY (MD)
Entity type:Individual
Prefix:DR
First Name:DOROTHY
Middle Name:MARY
Last Name:KALYANAPU
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1005 FREDERICK RD
Mailing Address - Street 2:
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-5030
Mailing Address - Country:US
Mailing Address - Phone:831-295-5691
Mailing Address - Fax:410-630-4976
Practice Address - Street 1:1005 FREDERICK RD
Practice Address - Street 2:
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228-5030
Practice Address - Country:US
Practice Address - Phone:831-295-5691
Practice Address - Fax:410-630-4976
Is Sole Proprietor?:No
Enumeration Date:2007-08-09
Last Update Date:2022-08-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA01018405402084P0804X
MDD00664702084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry