Provider Demographics
NPI:1154510584
Name:OMNIPHYSICIANS
Entity type:Organization
Organization Name:OMNIPHYSICIANS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KIRNJOT
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:888-339-7339
Mailing Address - Street 1:PO BOX 10907
Mailing Address - Street 2:
Mailing Address - City:MERRILLVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46411-0907
Mailing Address - Country:US
Mailing Address - Phone:219-476-7480
Mailing Address - Fax:219-476-7484
Practice Address - Street 1:2102 EVANS AVE
Practice Address - Street 2:SUITE #114
Practice Address - City:VALPARAISO
Practice Address - State:IN
Practice Address - Zip Code:46383-4095
Practice Address - Country:US
Practice Address - Phone:888-339-7339
Practice Address - Fax:219-531-5838
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-22
Last Update Date:2007-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01047531A207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the SpineGroup - Multi-Specialty