Individual
HARSHAVARDHAN R KRISHNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
12123 CONANT ST, HAMTRAMCK, MI 48212-2718
(313) 891-1500
(313) 891-1599
Mailing address
12123 CONANT ST, HAMTRAMCK, MI 48212-2718
(313) 891-1500
(313) 891-1599
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301070833
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10-4521365
—
MI
Enumeration date
07/08/2006
Last updated
02/28/2012
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