Provider Demographics
NPI:1316197999
Name:KARNIK, ASHUTOSH SUNIL (MD)
Entity Type:Individual
Prefix:DR
First Name:ASHUTOSH
Middle Name:SUNIL
Last Name:KARNIK
Suffix:
Gender:M
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:PO BOX 462
Mailing Address - Street 2:424 S CAROL STREET
Mailing Address - City:CARNEGIE
Mailing Address - State:OK
Mailing Address - Zip Code:73015-0462
Mailing Address - Country:US
Mailing Address - Phone:580-654-4444
Mailing Address - Fax:
Practice Address - Street 1:101 W ASH ST
Practice Address - Street 2:
Practice Address - City:CARNEGIE
Practice Address - State:OK
Practice Address - Zip Code:73015-5013
Practice Address - Country:US
Practice Address - Phone:580-654-4444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-19
Last Update Date:2013-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-3315207Q00000X
OK27466207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200225760AMedicaid