Provider Demographics
NPI:1033557830
Name:MINHAS, HARDEEP S (DPM)
Entity Type:Individual
Prefix:
First Name:HARDEEP
Middle Name:S
Last Name:MINHAS
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2338 DIVAC DR
Mailing Address - Street 2:
Mailing Address - City:SCHERERVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46375-4304
Mailing Address - Country:US
Mailing Address - Phone:847-454-6469
Mailing Address - Fax:866-343-0937
Practice Address - Street 1:8733 W 400 N
Practice Address - Street 2:
Practice Address - City:MICHIGAN CITY
Practice Address - State:IN
Practice Address - Zip Code:46360-9330
Practice Address - Country:US
Practice Address - Phone:219-315-4458
Practice Address - Fax:866-343-0937
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-13
Last Update Date:2021-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL135000803213ES0103X
IN07001228A213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery