National Provider Identifier
Maneesha Nandimandalam, MD
Maneesha Nandimandalam, MD is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Ithaca, NY and a listed phone number of (607) 274-4011.
Profile Overview
- NPI
- 1154901080
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- April 13, 2021
- Last Updated
- December 07, 2024
Practice Location
- 40 Catherwood RD
- Ithaca, NY 14850-1056
Phone: (607) 274-4011
Mailing Address
- 1301 Trumansburg RD Ste P
- Ithaca, NY 14850-1397
Specialties
- Internal Medicine Physician (207R00000X)
Full Record
- NPI
- 1154901080
- Entity Type
- Individual
- Last Name
- Nandimandalam
- First Name
- Maneesha
- Credential
- MD
- Mailing Street Address
- 1301 Trumansburg RD Ste P
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-1397
- Mailing Country
- US
- Mailing Phone
- (469) 478-1465
- Practice Street Address
- 40 Catherwood RD
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1056
- Practice Country
- US
- Practice Phone
- (607) 274-4011
- Enumeration Date
- April 13, 2021
- Last Updated
- December 07, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- December 07, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X)