Organization
BEDSIDE SPECIALISTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARSHAVARDHAN KRISHNA MD (PRESIDENT)
(248) 219-9320
Entity
Organization
Contact information
Practice address
12100 DIX TOLEDO RD, SOUTHGATE, MI 48195-3531
(734) 282-5502
Mailing address
12100 DIX TOLEDO RD, SOUTHGATE, MI 48195-3531
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
213E00000X
Podiatrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10-4521365
—
MI
Enumeration date
12/21/2020
Last updated
04/13/2022
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