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Organization
BOA VIDA MEDICAL GROUP MS LLC
Active
Organization
BOA VIDA MEDICAL GROUP MS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRNJOT SINGH MD (PRESIDENT)
(219) 228-4355
Entity
Organization
Contact information
Practice address
10996 FOUR SEASONS PL STE 100C, CROWN POINT, IN 46307-7762
(219) 228-4355
Mailing address
10996 FOUR SEASONS PL STE 100C, CROWN POINT, IN 46307-7762
(219) 228-4355
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
NULL
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
04/16/2026
Last updated
07/17/2026
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