Individual
DR. MANJUSHA NAMUDURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(704) 497-1291
Mailing address
75 TRESSER BLVD UNIT 568, STAMFORD, CT 06901-3381
(704) 497-1291
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2708651
NY
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
2708651
NY
Other
Enumeration date
03/05/2013
Last updated
04/23/2020
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