# VICTOR ICU, INC

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

## Provider details

- **NPI number:** 1952919961
- **Authorized official:** AVINESH SINGH BHAR JASWINDAR SINGH MD (OWNER/ AUTHORIZED OFFICIAL)
- **Authorized official phone:** (646) 270-6340

## Contact information

- **Practice address:** 1140 S JACKSON SPRINGS RD, MACON, GA 31211-1439
- **Practice address phone:** (646) 270-6340
- **Mailing address:** 1140 S JACKSON SPRINGS RD, MACON, GA 31211-1439
- **Mailing address phone:** (646) 270-6340

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0200X | Critical Care Medicine (Internal Medicine) Physician | — | NULL | — |
| 207RC0200X | Critical Care Medicine (Internal Medicine) Physician | — | — | — |
| 207RP1001X | Pulmonary Disease Physician | — | NULL | Yes |
| 207RP1001X | Pulmonary Disease Physician | — | — | Yes |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | NULL | — |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | — | — |

## Other

- **Enumeration date:** 07/15/2020
- **Last updated:** 07/15/2020