Healthcare Provider Details

I. General information

NPI: 1255711545
Provider Name (Legal Business Name): ROOPMA WADHWA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/02/2015
Last Update Date: 11/19/2024
Certification Date: 11/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 5TH AVE APT 22H
NEW YORK NY
10016-5042
US

IV. Provider business mailing address

325 5TH AVE APT 22H
NEW YORK NY
10016-5042
US

V. Phone/Fax

Practice location:
  • Phone: 646-355-8787
  • Fax:
Mailing address:
  • Phone: 646-355-8787
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084B0002X
TaxonomyObesity Medicine (Psychiatry & Neurology) Physician
License Number332868
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number332868
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: