Provider Demographics
NPI:1295702611
Name:KOHLI-SETH, ROOPA (MD)
Entity type:Individual
Prefix:
First Name:ROOPA
Middle Name:
Last Name:KOHLI-SETH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BOX 1263
Mailing Address - Street 2:I GUSTAVE L LEVY PL
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-6574
Mailing Address - Country:US
Mailing Address - Phone:212-241-8867
Mailing Address - Fax:212-241-6238
Practice Address - Street 1:5 EAST 98TH STREET
Practice Address - Street 2:14TH FL
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-6574
Practice Address - Country:US
Practice Address - Phone:212-241-8867
Practice Address - Fax:212-241-6238
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-03
Last Update Date:2020-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY228462207R00000X, 2086S0102X
NY228462-1207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02097285Medicaid
NYWWR621Medicare PIN
NY02097285Medicaid
NY856901Medicare ID - Type Unspecified