# BOA VIDA MEDICAL GROUP MS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497699987
- **Authorized official:** KIRNJOT SINGH MD (PRESIDENT)
- **Authorized official phone:** (219) 228-4355

## Contact information

- **Practice address:** 10996 FOUR SEASONS PL STE 100C, CROWN POINT, IN 46307-7762
- **Practice address phone:** (219) 228-4355
- **Mailing address:** 10996 FOUR SEASONS PL STE 100C, CROWN POINT, IN 46307-7762
- **Mailing address phone:** (219) 228-4355

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | — | NULL | — |
| 207P00000X | Emergency Medicine Physician | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 04/16/2026
- **Last updated:** 07/17/2026