Organization
KRISH FAMILY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MADHULIKA KRISH M.D. (PROVIDER)
(870) 289-5865
Entity
Organization
Contact information
Practice address
1357 W COLLIN RAYE DR, DE QUEEN, AR 71832-2946
(870) 642-4343
(870) 642-4399
Mailing address
PO BOX 295, LOCKESBURG, AR 71846-0295
(870) 289-5865
(870) 289-6993
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E3302
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146878002
—
AR
01
—
5C674
BCBS
AR
Enumeration date
10/07/2005
Last updated
08/26/2008
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