Hathwar, Roopa Jagadeesh
Hathwar, Roopa Jagadeesh is an individual health care provider with primary practice located at 123 Conhocton St Ste 101 , Corning NY 14830-2959. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Hathwar, Roopa Jagadeesh can be contacted via phone (607) 438-1200.Contact Information
Primary practice address
123 Conhocton St Ste 101
Corning NY 14830-2959
Phone: (607) 438-1200
Fax: (607) 438-1221
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 222906-1 | New York |
Profile Details
| NPI number | 1861435620 |
|---|---|
| LBN Legal business name | Hathwar, Roopa Jagadeesh |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2006 |
| Last updated | Nov 25th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861435620 | NPPES |
| New York | MEDICAID | 102808363 | |
| New York | MEDICAID | 02200815 |
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