Basic Information
| Provider Information | |||||||||
| NPI: | 1033557830 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MINHAS | ||||||||
| FirstName: | HARDEEP | ||||||||
| MiddleName: | S | ||||||||
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| Credential: | D.P.M. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2338 DIVAC DR | ||||||||
| Address2: | |||||||||
| City: | SCHERERVILLE | ||||||||
| State: | IN | ||||||||
| PostalCode: | 463754304 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8474546469 | ||||||||
| FaxNumber: | 8663430937 | ||||||||
| Practice Location | |||||||||
| Address1: | 8733 W 400 N | ||||||||
| Address2: | |||||||||
| City: | MICHIGAN CITY | ||||||||
| State: | IN | ||||||||
| PostalCode: | 463609330 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2193154458 | ||||||||
| FaxNumber: | 8663430937 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/13/2013 | ||||||||
| LastUpdateDate: | 03/23/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 03/23/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 213ES0103X | 135000803 | IL | N | Podiatric Medicine & Surgery Service Providers | Podiatrist | Foot & Ankle Surgery | 213ES0103X | 07001228A | IN | Y | Podiatric Medicine & Surgery Service Providers | Podiatrist | Foot & Ankle Surgery |
No ID Information.