Puja Roopa Korabathina, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

246222 Issued in NY

Practice address

1621 Eastchester Rd
Department of Medicine
Bronx, NY 10461-2604

Phone

(718) 405-8040

NPI assigned

Sep 8, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Puja Roopa Mahindra Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Montefiore Medical Center

  • Anesthesiology Physician
  • Bronx, NY
  • NPI 1063525152

  Internal Medicine

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222300800000",
    "number": "1629226279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W 15TH ST",
            "address_2": "APARTMENT 6NS",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100116700",
            "telephone_number": "212-229-9722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 EASTCHESTER RD",
            "address_2": "DEPARTMENT OF MEDICINE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612604",
            "telephone_number": "718-405-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORABATHINA",
        "first_name": "PUJA",
        "middle_name": "ROOPA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-08",
        "last_updated": "2008-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "246222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PUJA",
            "last_name": "MAHINDRA",
            "middle_name": "ROOPA",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Aleksandr Kopach, PA
• Harry Kopolovich, M.D., M.B.A.
• Fabio Kopp Vanuzzi, MD
• Sudha Koppaka, M.D.
• Samantha Koppelman, M.S, CCC- SLP
• Fatima Korac, LPN
• Erica Korang, NP
• Thomas Korankye
• Janet Koranteng
• Leslie Koranteng, LMSW, CASAC

• Internal Medicine Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.