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
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
04/16/2026
Last updated
04/16/2026
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