| Bedside Specialists Inc | |
|
12100 Dix Toledo Rd Southgate MI 48195-3531 | |
| (734) 282-5502 | |
| Not Available |
| Full Name | Bedside Specialists Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 12100 Dix Toledo Rd, Southgate, Michigan |
| Authorized Official Name and Position | Harshavardhan Krishna (PRESIDENT) |
| Authorized Official Contact | 2482199320 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bedside Specialists Inc 12100 Dix Toledo Rd Southgate MI 48195-3531 Ph: () - | Bedside Specialists Inc 12100 Dix Toledo Rd Southgate MI 48195-3531 Ph: (734) 282-5502 |
| NPI Number | 1275120511 |
|---|---|
| Provider Enumeration Date | 12/21/2020 |
| Last Update Date | 04/13/2022 |
| Medicare PECOS PAC ID | 4183039332 |
|---|---|
| Medicare Enrollment ID | O20210219001975 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275120511 | NPI | - | NPPES |
| 10-4521365 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 213E00000X | Podiatrist | (* (Not Available)) | Secondary |
| Provider Name | Harshavardhan R Krishna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154354769 PECOS PAC ID: 2668431164 Enrollment ID: I20041008001367 |
| Provider Name | James R Barna |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1114139391 PECOS PAC ID: 6608826227 Enrollment ID: I20050131000816 |
A.m. Mussani, Md., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12815 Northline Rd, Southgate, MI 48195 Phone: 734-284-2090 Fax: 734-284-9666 | |
Yassir Attalla Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15450 Northline Rd Ste 102, Southgate, MI 48195 Phone: 734-282-2020 Fax: 734-282-2002 | |
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