Healthcare Provider Details

I. General information

NPI: 1164040531
Provider Name (Legal Business Name): DR. MANASA ANIPINDI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MANASA VEDULA

II. Dates (important events)

Enumeration Date: 07/11/2020
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4950 STATE HIGHWAY 30
AMSTERDAM NY
12010-7520
US

IV. Provider business mailing address

406 GULF RD
COHOES NY
12047-4980
US

V. Phone/Fax

Practice location:
  • Phone: 518-841-3770
  • Fax:
Mailing address:
  • Phone: 631-994-9900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number344690
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: