Roopa M Korni Physician Pllc | |
2450 W Ridge Rd Suite 202 Rochester NY 14626-3037 | |
(585) 413-3520 | |
(585) 360-4181 |
Full Name | Roopa M Korni Physician Pllc |
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Speciality | Family Medicine |
Location | 2450 W Ridge Rd, Rochester, New York |
Authorized Official Name and Position | Roopa Korni (DOCTOR) |
Authorized Official Contact | 5854133520 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Roopa M Korni Physician Pllc 2450 W Ridge Rd Suite 202 Rochester NY 14626-3037 Ph: (585) 413-3520 | Roopa M Korni Physician Pllc 2450 W Ridge Rd Suite 202 Rochester NY 14626-3037 Ph: (585) 413-3520 |
NPI Number | 1265776181 |
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Provider Enumeration Date | 11/15/2012 |
Last Update Date | 11/01/2016 |
Medicare PECOS PAC ID | 3173776960 |
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Medicare Enrollment ID | O20130103000000 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265776181 | NPI | - | NPPES |
03127759 | Medicaid | NY | |
1265776181 | Other | NY | MEDICAIRE NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 253455 (New York) | Primary |
Provider Name | Roopa M Korni |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1629272810 PECOS PAC ID: 7113072752 Enrollment ID: I20090902000500 |
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