Provider Demographics
NPI:1699901041
Name:BATH, ROOPJEET KAUR (MBBS)
Entity type:Individual
Prefix:DR
First Name:ROOPJEET
Middle Name:KAUR
Last Name:BATH
Suffix:
Gender:F
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:263 FARMINGTON AVE
Mailing Address - Street 2:DEPARTMENT OF MEDICINE, DIVISION OF GASTROENTEROLOGY
Mailing Address - City:FARMINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06030-1845
Mailing Address - Country:US
Mailing Address - Phone:860-679-3238
Mailing Address - Fax:860-679-0161
Practice Address - Street 1:263 FARMINGTON AVE
Practice Address - Street 2:DEPARTMENT OF MEDICINE, DIVISION OF GASTROENTEROLOGY
Practice Address - City:FARMINGTON
Practice Address - State:CT
Practice Address - Zip Code:06030-1845
Practice Address - Country:US
Practice Address - Phone:860-679-3238
Practice Address - Fax:860-679-0161
Is Sole Proprietor?:No
Enumeration Date:2009-05-29
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD.60287240207R00000X
390200000X
CT055662207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program