Provider Demographics
NPI:1801098025
Name:WEYER, GURPREET B (MD)
Entity type:Individual
Prefix:DR
First Name:GURPREET
Middle Name:B
Last Name:WEYER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:GURPREET
Other - Middle Name:KAUR
Other - Last Name:BEDI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 1510
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47706-1510
Mailing Address - Country:US
Mailing Address - Phone:812-853-5671
Mailing Address - Fax:812-853-5697
Practice Address - Street 1:4133 GATEWAY BLVD
Practice Address - Street 2:2ND FLOOR
Practice Address - City:NEWBURGH
Practice Address - State:IN
Practice Address - Zip Code:47630-7953
Practice Address - Country:US
Practice Address - Phone:812-853-5671
Practice Address - Fax:812-853-5697
Is Sole Proprietor?:No
Enumeration Date:2007-06-01
Last Update Date:2013-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01067886A208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
INM400073434Medicare PIN