Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 265201 | MA |
N | 111NI0900X | Internist | 265201 | MA |
N | 207RC0000X | Internist - Cardiovascular Disease | 265201 | MA |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 265201 | MA |
NPI | 1174687495 |
---|---|
Provider Name | Ankur Ashok Karnik |
First Address | Boston, MA 02118 |
Second Address | Boston, MA 02118-2309 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/12/2006 |
Last Update Date | 28/09/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
110093694A | (05) | MA |