Provider Demographics
NPI:1225721913
Name:KARINAIKA, MADHU
Entity type:Individual
Prefix:MR
First Name:MADHU
Middle Name:
Last Name:KARINAIKA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7727 LANKERSHIM BLVD APT 239
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91605-6537
Mailing Address - Country:US
Mailing Address - Phone:559-514-2884
Mailing Address - Fax:
Practice Address - Street 1:7727 LANKERSHIM BLVD APT 239
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91605-6537
Practice Address - Country:US
Practice Address - Phone:559-514-2884
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-30
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA27794235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist