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NPI Code Detail

MEDICARE: DR. BIPINCHANDRA HIRISAVE KRISHNA M.D.

MEDICARE: DR. BIPINCHANDRA HIRISAVE KRISHNA M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician4301088072MI
22084P0804XChild & Adolescent Psychiatry Physician53713MN
32084P0800XPsychiatry Physician53713MN

General Provider Information

NPI Number : 1386854651
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BIPINCHANDRA HIRISAVE KRISHNA M.D.
Provider Business Mailing Address
First Line : 1325 SATELLITE BLVD NW STE 400
Second Line :
City : SUWANEE
State : GA
Zip : 30024-5299
Country : US
Telephone Number : 678-263-3080
Fax Number : 678-496-9863
Provider Business Practice Location Address
First Line : 1325 SATELLITE BLVD NW STE 400
Second Line :
City : SUWANEE
State : GA
Zip : 30024-5299
Country : US
Telephone Number : 678-263-3080
Fax Number : 678-496-9863
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2007
Last Update Date : 02/16/2024

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