Provider Demographics
NPI:1487741088
Name:KHURANA, ROOPA (MD)
Entity type:Individual
Prefix:DR
First Name:ROOPA
Middle Name:
Last Name:KHURANA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ROOPA
Other - Middle Name:
Other - Last Name:KHURANA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2 PERLMAN DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977-5245
Mailing Address - Country:US
Mailing Address - Phone:845-426-5500
Mailing Address - Fax:845-426-2830
Practice Address - Street 1:2 PERLMAN DR
Practice Address - Street 2:SUITE 101
Practice Address - City:SPRING VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10977-5245
Practice Address - Country:US
Practice Address - Phone:845-426-5500
Practice Address - Fax:845-426-2830
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2010-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1379171207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00363882Medicaid
NY00363882Medicaid
NY08A531Medicare PIN