Provider Demographics
NPI:1114008927
Name:KARIKARAN, NILANEE ANTONETTE (MD)
Entity Type:Individual
Prefix:
First Name:NILANEE
Middle Name:ANTONETTE
Last Name:KARIKARAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2138 SCENIC HWY N
Mailing Address - Street 2:SUITE E
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30078-6106
Mailing Address - Country:US
Mailing Address - Phone:678-395-3289
Mailing Address - Fax:678-395-3353
Practice Address - Street 1:2138 SCENIC HWY N
Practice Address - Street 2:SUITE E
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30078-6106
Practice Address - Country:US
Practice Address - Phone:678-209-1414
Practice Address - Fax:678-395-3353
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA578722084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA078677094BMedicaid
GAP00426958OtherRAILROAD MEDICARE
GA582320860OtherHUMANA
GAI70003Medicare UPIN
GA13BDFDKMedicare PIN