Healthcare Provider Details

I. General information

NPI: 1083524755
Provider Name (Legal Business Name): MK BRAIN HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3138 ARMERIA DR
APEX NC
27502-7099
US

IV. Provider business mailing address

3138 ARMERIA DR
APEX NC
27502-7099
US

V. Phone/Fax

Practice location:
  • Phone: 843-830-7567
  • Fax:
Mailing address:
  • Phone: 843-830-7567
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MANISH KARAMCHANDANI
Title or Position: SOLE MEMBER
Credential: MD
Phone: 843-830-7567