Krish Family Clinic
Family Medicine in De Queen, AR. Organization (NPI-2).
NPI number1912995606
StatusActive
Last updated in NPPESAug 26, 2008
Details
- NPI
- 1912995606
- Entity type
- Organization (NPI-2)
- Legal business name
- Krish Family Clinic
- Organization subpart
- No
- Enumeration date
- Oct 7, 2005
- Last updated
- Aug 26, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | E3302 | AR | Yes |
Practice location
1357 W Collin Raye DrDe Queen, AR 71832-2946
Phone 870-642-4343 · Fax 870-642-4399
Mailing address
Po Box 295Lockesburg, AR 71846-0295
Phone 870-289-5865 · Fax 870-289-6993
Authorized official
Madhulika Krish
Provider
8702895865
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