Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 228462 | NY |
N | 111NI0900X | Internist | 228462 | NY |
N | 207RC0200X | Critical Care Medicine | 228462-1 | NY |
Y | 2086S0102X | Surgical Critical Care | 228462 | NY |
NPI | 1295702611 |
---|---|
Provider Name | Roopa Kohli-Seth |
First Address | New York, NY 10029-6574 |
Second Address | New York, NY 10029-6574 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/03/2006 |
Last Update Date | 21/07/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02097285 | (05) | NY |
H20824 | (02) |