Organization
G & V MEDICAL SERVICES
Active
Other names
HIGHLAND OPEN MRI
Organization subpart
No
Provider details
NPI number
Authorized official
GOPAL SHAH (OWNER)
(219) 923-8540
Entity
Organization
Contact information
Practice address
8149 KENNEDY AVE, SUITE A, HIGHLAND, IN 46322-1128
(219) 923-8540
(219) 923-6742
Mailing address
PO BOX 1154, CROWN POINT, IN 46308-1154
(219) 923-8540
(219) 923-6742
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01042125A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000515082
BLUE CROSS BLUE SHIELD INDIANA
IN
05
—
200868120A
—
IN
01
—
90001299
BLUE CROSS BLUE SHIELD ILLINOIS
IL
01
—
P00433671
MEDICARE RAILROAD
IN
Enumeration date
09/20/2006
Last updated
06/21/2018
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