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Boa Vida Medical Group Ms LLC

Family Medicine in Crown Point, IN. Organization (NPI-2).

NPI number1497699987
StatusActive
Last updated in NPPESJul 17, 2026

Details

NPI
1497699987
Entity type
Organization (NPI-2)
Legal business name
Boa Vida Medical Group Ms LLC
Organization subpart
No
Enumeration date
Apr 16, 2026
Certification date
Jul 17, 2026
Last updated
Jul 17, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes
207P00000X Emergency Medicine––
207R00000X Internal Medicine––

Practice location

10996 Four Seasons Pl Ste 100c
Crown Point, IN 46307-7762

Phone 219-228-4355

Mailing address

10996 Four Seasons Pl Ste 100c
Crown Point, IN 46307-7762

Phone 219-228-4355

Authorized official

Kirnjot Singh
President
2192284355

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