Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Alicia Mandujano, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1114106119

Dr. Alicia Mandujano, MD is an Obstetrics/Gynecology in Buffalo, New York. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 2005, 21 years ago. Practices with General Physician PC, a 487-clinician group and accepts Medicare assignment. Licensed in Illinois, New York and Ohio.

Years since qualifying
21
Trained at
University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
Licensed in
IL, NY, OH
In the registry since
2007
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1001 Main St Fl 5
Buffalo, NY 14203-1009
Phone: (716) 636-8284
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Maternal & Fetal Medicine Physician (primary) Taxonomy 207VM0101X · Licence 314051 (NY)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 35.094008 (OH)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 036.121395 (IL)

Record details

NPI number1114106119
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 26, 2007
Last updated in NPPESNovember 30, 2022
Certification dateNovember 22, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolUNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated 2005 (21 years in practice)
Group practice General Physician Pc — 487 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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