Healthcare Provider Details

I. General information

NPI: 1396104543
Provider Name (Legal Business Name): HOME DOCTOR FOR YOU, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2016
Last Update Date: 11/16/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5945 WILCOX PL STE C
DUBLIN OH
43016-8713
US

IV. Provider business mailing address

PO BOX 1710
CARMEL IN
46082-1710
US

V. Phone/Fax

Practice location:
  • Phone: 317-569-1413
  • Fax: 317-569-1403
Mailing address:
  • Phone: 317-569-1413
  • Fax: 317-569-1403

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. DEV ANUROOP BRAR
Title or Position: PRESIDENT
Credential:
Phone: 317-569-1413