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1073648192

NPI Code Detail

MEDICARE: DR. NIRANJAN KARNIK M.D., PH.D.

MEDICARE: DR. NIRANJAN KARNIK M.D., PH.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
1	2084P0800X	Psychiatry Physician	A85259	CA
2	2084P0800X	Psychiatry Physician	036-122545	IL
3	2084P0800X	Psychiatry Physician	01089307A	IN
4	2084P0804X	Child & Adolescent Psychiatry Physician	A85259	CA
5	2084P0804X	Child & Adolescent Psychiatry Physician	01089307A	IN
6	2084P0804X	Child & Adolescent Psychiatry Physician	036-122545	IL

General Provider Information

NPI Number	:	1073648192
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NIRANJAN KARNIK M.D., PH.D.

Provider Business Mailing Address
First Line	:	1747 W ROOSEVELT RD
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60608-1264
Country	:	US
Telephone Number	:	312-273-0185
Fax Number	:

Provider Business Practice Location Address
First Line	:	1747 W ROOSEVELT RD
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60608-1264
Country	:	US
Telephone Number	:	312-273-0185
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/22/2007
Last Update Date	:	02/21/2023

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Directions to “ DR. NIRANJAN KARNIK M.D., PH.D.” Practice Location

Language	Start Address	Practice Location

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