MEDICARE: EVEREST HEALTHCARE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208200000X	Plastic Surgery Physician

General Provider Information

NPI Number	:	1952176794
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EVEREST HEALTHCARE INC

Provider Business Mailing Address
First Line	:	2900 THOMAS AVE S APT 2412
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55416-4193
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2900 THOMAS AVE S APT 2412
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55416-4193
Country	:	US
Telephone Number	:	660-342-9416
Fax Number	:

Authorized Official
Title or Position	:	PLASTIC SURGERY
Name	:	DR. KULDEEP SINGH
Credential	:	DO
Telephone Number	:	660-342-9416

Provider Enumeration Date	:	11/21/2023
Last Update Date	:	11/22/2023

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