# BEDSIDE SPECIALISTS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275120511
- **Authorized official:** DR. HARSHAVARDHAN KRISHNA MD (PRESIDENT)
- **Authorized official phone:** (248) 219-9320

## Contact information

- **Practice address:** 12100 DIX TOLEDO RD, SOUTHGATE, MI 48195-3531
- **Practice address phone:** (734) 282-5502
- **Mailing address:** 12100 DIX TOLEDO RD, SOUTHGATE, MI 48195-3531

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 213E00000X | Podiatrist | — | NULL | — |
| 213E00000X | Podiatrist | — | — | — |

## Other

- **Enumeration date:** 12/21/2020
- **Last updated:** 04/13/2022