Krish Family Clinic

LBN: Krish Family Clinic
Krish Family Clinic is an health care organization with primary practice located at 1357 W Collin Raye Dr , De Queen AR 71832-2946. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Krish Family Clinic can be contacted via phone (870) 642-4343, or through Krish, Madhulika via phone (870) 289-5865.

Contact Information

Primary practice address
1357 W Collin Raye Dr De Queen AR 71832-2946
Phone: (870) 642-4343
Fax: (870) 642-4399
Website:
Map and Directions
Authorized official contact:
Name: Krish, Madhulika Doctor of Medicine (MD)
Phone: (870) 289-5865

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X E3302 Arkansas

Profile Details

NPI number 1912995606
LBN Legal business name Krish Family Clinic
DBA Doing business as
Authorized official Krish, Madhulika Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 7th, 2005
Last updated Aug 26th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912995606 NPPES
Arkansas MEDICAID 146878002
Arkansas Other 5C674

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