Healthcare Provider Details

I. General information

NPI: 1952176794
Provider Name (Legal Business Name): EVEREST HEALTHCARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2023
Last Update Date: 11/22/2023
Certification Date: 11/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 THOMAS AVE S APT 2412
MINNEAPOLIS MN
55416-4193
US

IV. Provider business mailing address

2900 THOMAS AVE S APT 2412
MINNEAPOLIS MN
55416-4193
US

V. Phone/Fax

Practice location:
  • Phone: 660-342-9416
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. KULDEEP SINGH
Title or Position: PLASTIC SURGERY
Credential: DO
Phone: 660-342-9416