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ROOPA M KORNI PHYSICIAN PLLC NPI 1265776181


NPI Information

NPI: 1265776181
Provider Name: ROOPA M KORNI PHYSICIAN PLLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
2450 W RIDGE RD
SUITE 202
ROCHESTER, NY
ZIP 14626
Phone: (585) 413-3520
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ROOPA M KORNI PHYSICIAN PLLC is a family medicine in Rochester, NY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ROOPA M KORNI PHYSICIAN PLLC NPI is 1265776181. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2450 W RIDGE RD
SUITE 202
ROCHESTER, NY
ZIP 14626-037
Phone: (585) 413-3520
Fax: (585) 360-4181

The provider's authorized official is Roopa Korni .
The authorized official title is Doctor and has the following contact phone number (585) 413-3520.

The enumeration date for this NPI number is 11/15/2012 and was last updated on 11/1/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine253455NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11265776181OTHERNEW YORKMEDICAIRE NPI
203127759MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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