DR. MANJUSHA NAMUDURI M.D
NPI 1467793265
Pediatrics - Pediatric Hematology-Oncology in New York, NY

Q: What is Manjusha Namuduri's NPI number?

The NPI number for Manjusha Namuduri is 1467793265. It was assigned to this individual provider in the NPPES registry on March 5, 2013.

Q: What is Manjusha Namuduri's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Q: When was this NPI record last updated?

The NPPES record for Manjusha Namuduri was last updated on April 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 05, 2013

1275 YORK AVE, NEW YORK, NY 10065(704) 497-1291 Get Directions Write a Review

NPPES record last updated: April 23, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 23, 2020, Mar 17, 2018, Jun 27, 2017 (3 updates tracked since 2017).

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About Dr. Manjusha Namuduri M.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MANJUSHA NAMUDURI M.D (NPI 1467793265) is an individual pediatric hematology-oncology provider in New York, New York, licensed in New York (2708651) and active in the NPI registry since March 2013. She maintains a secondary practice location in Brooklyn.

NPPES Registry Identity

NPI1467793265

Entity TypeIndividualFemale

Primary Taxonomy2080P0207X

Provider Legal NameDR. MANJUSHA NAMUDURICredential: M.D

Location Address1275 YORK AVENew York, NY 10065-6007

Mailing Address75 Tresser Blvd Unit 568Stamford, CT 06901-3381 · (704) 497-1291

Phone(704) 497-1291

Sole ProprietorYes

Enumeration DateMarch 5, 2013

Last NPPES UpdateApril 23, 20203 updates tracked since enumeration

NPPES CertifiedApril 23, 2020

✔ NPI 1467793265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0207X

License✔ Licensed in NY · 2708651

Definition

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

Also ListedPediatricsTaxonomy 208000000X · License 2708651 (NY)

1275 YORK AVE, New York, NY 10065

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Secondary Practice Location 1

Location 1450 Clarkson Ave, department of pediatricsBrooklyn, NY 11203-2012 · Phone (704) 497-1291

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ZANA CORREA NP

Nurse Practitioner (Adult Health)