National Provider Identifier
Roopa Jagadeesh Hathwar, M.D.
Roopa Jagadeesh Hathwar, M.D. is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Corning, NY and a listed phone number of (607) 438-1200.
Profile Overview
- NPI
- 1861435620
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- June 13, 2006
- Last Updated
- November 25, 2020
Practice Location
- 123 Conhocton St Ste 101
- Corning, NY 14830-2959
Phone: (607) 438-1200
Mailing Address
- 571 Saint Josephs Blvd Fl 2
- Elmira, NY 14901-3230
Specialties
- Internal Medicine Physician (207R00000X)
Full Record
- NPI
- 1861435620
- Entity Type
- Individual
- Last Name
- Hathwar
- First Name
- Roopa
- Middle Name
- Jagadeesh
- Name Prefix
- Dr.
- Credential
- M.D.
- Mailing Street Address
- 571 Saint Josephs Blvd Fl 2
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14901-3230
- Mailing Country
- US
- Mailing Phone
- (607) 271-2050
- Practice Street Address
- 123 Conhocton St Ste 101
- Practice City
- Corning
- Practice State
- NY
- Practice ZIP Code
- 14830-2959
- Practice Country
- US
- Practice Phone
- (607) 438-1200
- Practice Fax
- (607) 438-1221
- Enumeration Date
- June 13, 2006
- Last Updated
- November 25, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- November 25, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X)
- Other Identifiers
- 102808363 (NY), 02200815 (NY)