MEDICARE: DR. ASHOK S KARNIK 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
1	207R00000X	Internal Medicine Physician	4301034247	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4301034247	OTHER	MI	PHYSICIAN LICENSE

General Provider Information

NPI Number	:	1982718599
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ASHOK S KARNIK M.D.

Provider Business Mailing Address
First Line	:	20245 W 12 MILE RD
Second Line	:	SUITE 117
City	:	SOUTHFIELD
State	:	MI
Zip	:	48076-5409
Country	:	US
Telephone Number	:	248-948-7985
Fax Number	:	248-948-9031

Provider Business Practice Location Address
First Line	:	20245 W 12 MILE RD
Second Line	:	SUITE 117
City	:	SOUTHFIELD
State	:	MI
Zip	:	48076-5409
Country	:	US
Telephone Number	:	248-948-7985
Fax Number	:	248-948-9031

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

Provider Enumeration Date	:	08/19/2006
Last Update Date	:	07/08/2007

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