Individual
KRISHNA HARIKUSHNA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2100 N 7TH ST, WEST MEMPHIS, AR 72301-2017
(870) 394-7800
Mailing address
1401 INGRAM BLVD, WEST MEMPHIS, AR 72301-2229
(901) 409-4773
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
5501
TN
363A00000X
Physician Assistant
5501
TN
363A00000X
Physician Assistant
Primary
PA-1291
AR
Other
Enumeration date
04/21/2023
Last updated
03/13/2026
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