MEDICARE: DR. ROOPA SADANA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	200954	NY

General Provider Information

NPI Number	:	1285622613
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROOPA SADANA MD

Provider Business Mailing Address
First Line	:	5901 PALISADE AVE
Second Line	:	THE HEBREW HOME AT RIVERDALE
City	:	RIVERDALE
State	:	NY
Zip	:	10471-1205
Country	:	US
Telephone Number	:	718-581-1200
Fax Number	:	718-581-1012

Provider Business Practice Location Address
First Line	:	5901 PALISADE AVE
Second Line	:	THE HEBREW HOME AT RIVERDALE
City	:	RIVERDALE
State	:	NY
Zip	:	10471-1205
Country	:	US
Telephone Number	:	718-581-1200
Fax Number	:	718-581-1012

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/10/2005
Last Update Date	:	11/30/2007

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