Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 07001228A | IN |
N | 213ES0103X | Foot & Ankle Surgery | 135000803 | IL |
NPI | 1033557830 |
---|---|
Provider Name | Hardeep S Minhas |
First Address | Schererville, IN 46375-4304 |
Second Address | Michigan City, IN 46360-9330 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2013 |
Last Update Date | 23/03/2021 |