Provider Demographics
NPI:1700845757
Name:KARNIK, ASHOK MANOHAR (MD)
Entity Type:Individual
Prefix:
First Name:ASHOK
Middle Name:MANOHAR
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:DEPARTMENT OF MEDICINE
Mailing Address - Street 2:SCHOOL OF MEDICINE, STONY BROOK UNIVERSITY
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11794-8430
Mailing Address - Country:US
Mailing Address - Phone:631-444-1106
Mailing Address - Fax:631-444-2493
Practice Address - Street 1:DEPARTMENT OF MEDICINE
Practice Address - Street 2:SCHOOL OF MEDICINE, STONY BROOK UNIVERSITY
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11794-8430
Practice Address - Country:US
Practice Address - Phone:631-444-1106
Practice Address - Fax:631-444-2493
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-20
Last Update Date:2011-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY189952207R00000X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01348094Medicaid
NY01348094Medicaid
NYF38826Medicare UPIN