Provider Demographics
NPI:1467452722
Name:KARIA, ROOPAL M (MD)
Entity Type:Individual
Prefix:
First Name:ROOPAL
Middle Name:M
Last Name:KARIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1944 STATE HWY 33
Mailing Address - Street 2:STE 102
Mailing Address - City:NEPTUNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07754
Mailing Address - Country:US
Mailing Address - Phone:732-776-4551
Mailing Address - Fax:732-776-4392
Practice Address - Street 1:1944 STATE HWY 33
Practice Address - Street 2:STE 102
Practice Address - City:NEPTUNE
Practice Address - State:NJ
Practice Address - Zip Code:07754
Practice Address - Country:US
Practice Address - Phone:732-776-4551
Practice Address - Fax:732-776-4392
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA068700002084N0402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8937702Medicaid
NJ066909AJBMedicare ID - Type Unspecified
H77925Medicare UPIN