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Dr. Prachi Avinash Karnik, MD

Specializes in: Internal Medicine (Adult Medicine)
University of California, San Francisco (UCSF), School of Medicine
Professional interests include: cryosurgery, anxiety, postpartum depression, and more.
1240 Broadway
El Cajon, CA 92021

Dr. Prachi Avinash Karnik, MD is an internist in El Cajon, CA specializing in internal medicine (adult medicine). She graduated from University of California, San Francisco (UCSF), School of Medicine. Dr. Prachi Avinash Karnik, MD is affiliated with Sharp HealthCare.

View Doctor's Full Profile (858) 499-2600

Office Locations

1240 Broadway
El Cajon, CA 92021
(858) 499-2600
(619) 441-6349
open_in_new

Sharp HealthCare

300 Fir Street Floor 3
San Diego, CA 92101
(858) 499-2703
(619) 446-1742
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Some issues Dr. Prachi Avinash Karnik, MD can help you with:

Anxiety

Anxiety is a generic name given to a variety of conditions characterized by unusual amounts of fear and worry, especially unrealistic fears and tension. People who suffer from anxiety often are aware that their fears are irrational, but that knowledge does not make the feeling of being scared and anxious go away. To qualify as anxiety, symptoms must last for 6 months or more and interfere with the way a person lives their daily life. Some cases may be mild, where, for example, a person simply avoids certain situations. Other cases can be severe enough to be disabling.

Some of the specific conditions covered under the general label of anxiety include:

  • Generalized anxiety disorder
  • Obsessive-compulsive disorder
  • Phobias
  • Post-traumatic stress disorder
  • Social phobia
  • Panic disorder

Collectively, anxiety disorders are the most common mental health issues diagnosed in the United States -- even more common than depression. Women are more likely than men to be diagnosed with anxiety, and it is extremely common for a person with anxiety to have another illness at the same time, such as depression, a physical illness, or substance abuse.

Treatment for anxiety usually involves medication and psychotherapy together. Medications used may include antidepressants (which also work for anxiety), anti-anxiety medications, or beta blockers (which can be used to control the physical symptoms of anxiety). Psychotherapy can be useful to teach patients new ways of thinking and reacting so that they can manage their feelings of worry and fear. Support groups can also be very effective for anxiety, and they can be a form of treatment themselves for social phobias. Stress management, relaxation techniques, and meditation all help reduce feelings of anxiety or of being out of control. Finally, having a strong support network of family and friends is an excellent way to help manage the difficulties of life with anxiety.

Depression

Everyone knows what it feels like to get the blues once in a while. But depression is a serious illness that is more severe than a bad day and lasts much longer. Symptoms of depression stop a person from being able to function and enjoy daily activities for weeks or months at a time. It can happen to anyone, and it isn't something that people can control by force of will or "snap out of it."

Some common symptoms of depression include:

  • Feeling sad, guilty, empty or hopeless
  • Fatigue and a lack of energy and motivation
  • A loss of pleasure in activities that were previously enjoyed
  • Unusual sleep or eating habits
  • Mental fog -- trouble concentrating, remembering, or making decisions
  • Physical aches and pains
  • Suicidal thoughts or a preoccupation with death

We don't yet know what causes depression, but it's thought that it is a combination of genetic, biological, environmental, and social influences. Because of this, the most effective treatments for depression combine medication with psychotherapy. Therapy, especially cognitive-behavioral therapy, can be extremely helpful in resolving the negative thoughts and feelings that come with depression. It gives patients new tools that they can use themselves to cope when their depression is making them feel down.

Some of the common medications used to treat depression include antidepressants such as SSRI's (Prozac, Paxil, Zoloft) or atypical antidepressants (Cymbalta, Wellbutrin). It's important to remember that these medications have different effects on everybody, and no one medication works right for everyone. Patients may have to try a couple before finding the one that works just right for them. If the first medication they try doesn't work, they should talk to their doctor about trying something else. In extreme cases where medication is not enough, electro-convulsive therapy and hospitalization may be the answer to keeping a severely depressed person safe.

Depression is a difficult illness to deal with, but it is more common than believed and there are many people who can help. With the right treatment, individuals with depression can get back to fully enjoying life again.

Headache

Headaches are dull or sharp pains that occur in regions of the head and face. Headaches occur in many different forms and vary in location, severity, and duration. They are not necessarily a sign of an underlying illness and often resolve on their own. However, headaches can present significant day-to-day discomfort. The most common forms of headaches include:

  • Migraines: one of the most prevalent types of headache, migraines typically last from two hours to three days, causing a throbbing pain on one side of the head. Nausea, sensitivity to bright lights, fatigue, and blurred vision all may accompany migraines. While migraines have no known cure, medications and lifestyle modifications may ease symptoms. Avoiding behaviors that may trigger migraines such as lack of sleep or loud, repetitive noises can improve headaches.
  • Tension headaches: also known as stress headaches, these headaches are characterized by pain in the upper top part of the head and behind the eyes. Tension headaches are common and have no exact cause; however, certain practices may increase the likelihood of developing them. For example, wearing one's hair up in a tight hairstyle or wearing a restrictive hat can put pressure on the scalp, leading to a tension headache. Other causes of tension headaches may include alcohol or nicotine use, caffeine, teeth grinding, stress, overexertion, and eye strain. Some people find posture improvement, alternating sleeping positions, and neck exercise can alleviate tension headaches. Over-the-counter pain relievers such as ibuprofen (Advil, Motren) and naproxen sodium (Aleve) may also reduce tension-headache pain.
  • Sinus headaches: this type of headache causes pain in the sinuses, but may progress to pain and pressure in the eyes, forehead, and cheeks. These headaches are often accompanied by nasal congestion, fatigue, and ache in the upper teeth and may or may not be caused by sinus infections or sinusitis (sinus inflammation). Some sinus headaches are allergic headaches, which arise from allergic triggers such as seasonal allergies (pollen allergies) or hay fever, causing sinus pressure and facial pain. Other symptoms of allergic headaches include nasal congestion, irritated or watery eyes, runny nose, and sneezing. Allergic headaches may be treated with antihistamine medications such as cetirizine (Zyrtec). Allergic headaches are common during pollen season, which is usually around springtime.
  • Cluster headaches: these headaches occur suddenly and cause stabbing, sharp pain from one eye down to the one side of the neck. They are often referred to as the most aggravating and painful type of headaches. Other symptoms of cluster headaches include nasal congestion, droopy eyelid, and enlarged pupil on one side of the face. In the past, it was widely believed that cluster headaches were caused by a bevy or "cluster" of multiple types of headaches, such as a combination of an allergic headache and a tension headache. Medical experts now recognize that cluster headaches are a separate and unique form of headache. Cluster headaches last for around twenty minutes to two hours. They may recur throughout the period of a day or several weeks, but usually dissipate within a month. Treatment for cluster headaches includes over-the-counter pain medications such as ibuprofen (Advil, Motren) and naproxen sodium (Aleve). Prescription Prednisone can help with swelling and Verapamil may reduce pain by relaxing the blood vessels.

Living with headaches is challenging; headaches can prevent people from fully enjoying life. Medical treatment and care in avoiding certain triggers can help those with headaches begin to feel normal once again.

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Dr. Prachi Avinash Karnik, MD treated as an internist in El Cajon, CA during 2012 were nursing home care, hospital care, inpatient care and preventive care.

Volume of procedures performed by Dr. Prachi Avinash Karnik, MD for Medicare patients.

doctor visit 599
hospital care 61
inpatient care 61
nursing home care 88
preventive care 29
vaccines 29

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. Prachi Avinash Karnik, MD treated as an internist in El Cajon, CA during 2013 were preventive care, vaccines, nursing home care and hospital care.

Volume of procedures performed by Dr. Prachi Avinash Karnik, MD for Medicare patients.

doctor visit 650
hospital care 22
inpatient care 22
nursing home care 103
preventive care 134
vaccines 134

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Prachi Avinash Karnik, MD.

Gender
Male 89
Female 228
Ethnicity
Non-Hispanic White 246
Black 21
Hispanic 29
Asian 0
Other 0
Native American 0
Age
From 65 to 74 141
From 75 to 84 71
85 and over 48
Less than 65 57

Conditions of Medicare patients treated by Dr. Prachi Avinash Karnik, MD in 2013

Hypertension 67
High Cholesterol 62
Stroke 4
Ischemic Heart Disease 26
Depression 27
Chronic Kidney Disease 22
Asthma 5
Osteoperosis 8
Atrial Fibrilation 9
Heart Failure 20
Chronic Obstructive Pulmonary Disease 13
Diabetes 31
Dementia 13
Cancer 8

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. Prachi Avinash Karnik, MD treated as an internist in El Cajon, CA during 2014 were preventive care and vaccines.

Volume of procedures performed by Dr. Prachi Avinash Karnik, MD for Medicare patients.

doctor visit 357
preventive care 63
vaccines 63

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Prachi Avinash Karnik, MD.

Gender
Male 58
Female 153
Ethnicity
Non-Hispanic White 163
Black 13
Hispanic 15
Asian 0
Other 0
Native American 0
Age
From 65 to 74 91
From 75 to 84 64
85 and over 17
Less than 65 39

Conditions of Medicare patients treated by Dr. Prachi Avinash Karnik, MD in 2014

Hypertension 56
High Cholesterol 51
Stroke 0
Ischemic Heart Disease 23
Depression 27
Chronic Kidney Disease 26
Asthma 0
Osteoperosis 8
Atrial Fibrilation 5
Heart Failure 17
Chronic Obstructive Pulmonary Disease 13
Diabetes 32
Dementia 10
Cancer 6

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Prachi Avinash Karnik, MD treated as an internist in El Cajon, CA during 2015 were preventive care and vaccines.

Volume of procedures performed by Dr. Prachi Avinash Karnik, MD for Medicare patients.

doctor visit 333
preventive care 49
vaccines 49

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Prachi Avinash Karnik, MD.

Gender
Male 72
Female 244
Ethnicity
Non-Hispanic White 248
Black 0
Hispanic 24
Asian 22
Other 0
Native American 0
Age
From 65 to 74 136
From 75 to 84 80
85 and over 28
Less than 65 72

Conditions of Medicare patients treated by Dr. Prachi Avinash Karnik, MD in 2015

Hypertension 53
High Cholesterol 46
Stroke 0
Ischemic Heart Disease 21
Depression 37
Chronic Kidney Disease 22
Asthma 9
Osteoperosis 0
Atrial Fibrilation 7
Heart Failure 18
Chronic Obstructive Pulmonary Disease 16
Diabetes 34
Dementia 8
Cancer 9

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. Prachi Avinash Karnik, MD treated as an internist in El Cajon, CA during 2016 were preventive care, vaccines, aspiration and injections.

Volume of procedures performed by Dr. Prachi Avinash Karnik, MD for Medicare patients.

aspiration 18
doctor visit 439
injections 18
preventive care 110
vaccines 110

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Prachi Avinash Karnik, MD.

Gender
Male 52
Female 151
Ethnicity
Non-Hispanic White 164
Black 0
Hispanic 18
Asian 0
Other 0
Native American 0
Age
From 65 to 74 91
From 75 to 84 44
85 and over 28
Less than 65 40

Conditions of Medicare patients treated by Dr. Prachi Avinash Karnik, MD in 2016

Hypertension 55
High Cholesterol 43
Stroke 0
Ischemic Heart Disease 14
Depression 23
Chronic Kidney Disease 18
Asthma 18
Osteoperosis 0
Atrial Fibrilation 9
Heart Failure 12
Chronic Obstructive Pulmonary Disease 17
Diabetes 25
Dementia 8
Cancer 6

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. Prachi Avinash Karnik, MD treated as an internist in El Cajon, CA during 2017 were preventive care, vaccines, aspiration and injections.

Volume of procedures performed by Dr. Prachi Avinash Karnik, MD for Medicare patients.

aspiration 18
doctor visit 416
injections 18
preventive care 95
vaccines 95

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Prachi Avinash Karnik, MD.

Gender
Male 52
Female 164
Ethnicity
Non-Hispanic White 176
Black 0
Hispanic 18
Asian 0
Other 0
Native American 0
Age
From 65 to 74 88
From 75 to 84 59
85 and over 31
Less than 65 38

Conditions of Medicare patients treated by Dr. Prachi Avinash Karnik, MD in 2017

Hypertension 48
High Cholesterol 25
Stroke 0
Ischemic Heart Disease 16
Depression 26
Chronic Kidney Disease 21
Asthma 7
Osteoperosis 0
Atrial Fibrilation 8
Heart Failure 12
Chronic Obstructive Pulmonary Disease 15
Diabetes 20
Dementia 11
Cancer 10

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Prachi Avinash Karnik, MD treated as an internist in El Cajon, CA during 2018 were preventive care, vaccines, aspiration and injections.

Volume of procedures performed by Dr. Prachi Avinash Karnik, MD for Medicare patients.

aspiration 18
doctor visit 492
injections 18
preventive care 98
vaccines 98

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Prachi Avinash Karnik, MD.

Gender
Male 65
Female 189
Ethnicity
Non-Hispanic White 204
Black 0
Hispanic 25
Asian 0
Other 0
Native American 0
Age
From 65 to 74 108
From 75 to 84 75
85 and over 37
Less than 65 34

Conditions of Medicare patients treated by Dr. Prachi Avinash Karnik, MD in 2018

Hypertension 52
High Cholesterol 38
Stroke 4
Ischemic Heart Disease 17
Depression 20
Chronic Kidney Disease 20
Asthma 7
Osteoperosis 7
Atrial Fibrilation 9
Heart Failure 15
Chronic Obstructive Pulmonary Disease 11
Diabetes 24
Dementia 15
Cancer 11

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Prachi Avinash Karnik, MD treated as an internist in El Cajon, CA during 2019 were preventive care, vaccines, aspiration and injections.

Volume of procedures performed by Dr. Prachi Avinash Karnik, MD for Medicare patients.

aspiration 15
doctor visit 399
injections 15
preventive care 79
vaccines 79

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Prachi Avinash Karnik, MD.

Gender
Male 49
Female 156
Ethnicity
Non-Hispanic White 169
Black 0
Hispanic 19
Asian 0
Other 0
Native American 0
Age
From 65 to 74 95
From 75 to 84 56
85 and over 31
Less than 65 23

Conditions of Medicare patients treated by Dr. Prachi Avinash Karnik, MD in 2019

Hypertension 55
High Cholesterol 39
Stroke 0
Ischemic Heart Disease 16
Depression 23
Chronic Kidney Disease 20
Asthma 5
Osteoperosis 9
Atrial Fibrilation 11
Heart Failure 12
Chronic Obstructive Pulmonary Disease 14
Diabetes 26
Dementia 11
Cancer 13

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Prachi Avinash Karnik, MD treated as an internist in El Cajon, CA during 2020 were preventive care and vaccines.

Volume of procedures performed by Dr. Prachi Avinash Karnik, MD for Medicare patients.

doctor visit 273
preventive care 42
vaccines 42

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Prachi Avinash Karnik, MD.

Gender
Male 105
Female 163
Ethnicity
Non-Hispanic White 214
Black 0
Hispanic 29
Asian 0
Other 0
Native American 0
Age
From 65 to 74 114
From 75 to 84 98
85 and over 35
Less than 65 21

Conditions of Medicare patients treated by Dr. Prachi Avinash Karnik, MD in 2020

Hypertension 50
High Cholesterol 45
Stroke 5
Ischemic Heart Disease 22
Depression 26
Chronic Kidney Disease 20
Asthma 7
Osteoperosis 11
Atrial Fibrilation 12
Heart Failure 13
Chronic Obstructive Pulmonary Disease 10
Diabetes 22
Dementia 8
Cancer 12

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Prachi Avinash Karnik, MD treated as an internist in El Cajon, CA during 2021 were preventive care and vaccines.

Volume of procedures performed by Dr. Prachi Avinash Karnik, MD for Medicare patients.

doctor visit 271
preventive care 27
vaccines 27

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Prachi Avinash Karnik, MD.

Gender
Male 80
Female 151
Ethnicity
Non-Hispanic White 178
Black 16
Hispanic 20
Asian 0
Other 0
Native American 0
Age
From 65 to 74 104
From 75 to 84 77
85 and over 34
Less than 65 16

Conditions of Medicare patients treated by Dr. Prachi Avinash Karnik, MD in 2021

Hypertension 47
High Cholesterol 52
Stroke 0
Ischemic Heart Disease 21
Depression 19
Chronic Kidney Disease 20
Asthma 6
Osteoperosis 13
Atrial Fibrilation 10
Heart Failure 14
Chronic Obstructive Pulmonary Disease 5
Diabetes 21
Dementia 10
Cancer 13

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Prachi Avinash Karnik, MD treated as an internist in El Cajon, CA during 2022 were preventive care and vaccines.

Volume of procedures performed by Dr. Prachi Avinash Karnik, MD for Medicare patients.

doctor visit 294
preventive care 14
vaccines 14

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Prachi Avinash Karnik, MD.

Gender
Male 76
Female 141
Ethnicity
Non-Hispanic White 163
Black 19
Hispanic 22
Asian 0
Other 0
Native American 0
Age
From 65 to 74 104
From 75 to 84 76
85 and over 0
Less than 65 0

Conditions of Medicare patients treated by Dr. Prachi Avinash Karnik, MD in 2022

Hypertension 63
High Cholesterol 67
Stroke 0
Ischemic Heart Disease 18
Depression 16
Chronic Kidney Disease 15
Asthma 10
Osteoperosis 18
Atrial Fibrilation 16
Heart Failure 13
Chronic Obstructive Pulmonary Disease 10
Diabetes 18
Dementia 0
Cancer 17

Medicare Procedure and Patient Information

2023 Medicare Procedure Volume

Volume of procedures performed by Dr. Prachi Avinash Karnik, MD for Medicare patients.

doctor visit 274

2023 Medicare Patient Data

Information about Medicare patients treated by Dr. Prachi Avinash Karnik, MD.

Gender
Male 70
Female 121
Ethnicity
Non-Hispanic White 148
Black 14
Hispanic 15
Asian 0
Other 0
Native American 0
Age
From 65 to 74 84
From 75 to 84 76
85 and over 0
Less than 65 0

Conditions of Medicare patients treated by Dr. Prachi Avinash Karnik, MD in 2023

Hypertension 60
High Cholesterol 65
Stroke 6
Ischemic Heart Disease 18
Depression 17
Chronic Kidney Disease 14
Asthma 8
Osteoperosis 19
Atrial Fibrilation 11
Heart Failure 9
Chronic Obstructive Pulmonary Disease 8
Diabetes 19
Dementia 0
Cancer 16

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2023

Volume of procedures performed by Dr. Prachi Avinash Karnik, MD for Medicare patients.

The highest averages for the top procedures that Dr. Prachi Avinash Karnik, MD treated as an internist in El Cajon, CA were nursing home care, preventive care, vaccines and hospital care.

aspiration 17
doctor visit 399
hospital care 41
injections 17
inpatient care 41
nursing home care 95
preventive care 67
vaccines 67

Average Medicare Patient Data From 2012 - 2023

Information about Medicare patients treated by Dr. Prachi Avinash Karnik, MD.

Gender
Male 64
Female 155
Ethnicity
Black / African American 6
Asian / Pacific Islander 1
Non-Hispanic White 172
Hispanic 19
Native American / Alaskan Native 0
Other 0
Age
75 to 84 64
85 and over 24
Less than 65 28
65 to 74 96

Average of Total of Conditions of Medicare patients treated by Dr. Prachi Avinash Karnik, MD From 2012 - 2023

The highest averages of the most common conditions of Medicare patients that Dr. Prachi Avinash Karnik, MD treated were hypertension, high cholesterol, diabetes and depression.

Hypertension 50
High Cholesterol 44
Stroke 1
Ischemic Heart Disease 17
Depression 21
Chronic Kidney Disease 18
Asthma 6
Osteoporosis 7
Heart Failure 12
Chronic Obstructive Pulmonary Disease 11
Diabetes 22
Atrial Fibrillation 8
Cancer 10
Dementia 7

Education & Training

Dr. Prachi Avinash Karnik, MD graduated from University of California, San Francisco (UCSF), School of Medicine. She completed residency at University of California, San Diego (UCSD) Affiliated Hospitals. She is certified by the Internal medicine and has a state license in California.

Medical School: University of California, San Francisco (UCSF), School of Medicine

Residency: University of California, San Diego (UCSD) Affiliated Hospitals

Board Certification: Internal medicine

Licensed In: California

Affiliations & Hospitals

Dr. Prachi Avinash Karnik, MD is associated with these hospitals and organizations:

Sharp HealthCare

Insurance Information

Please note: Insurance information may change at any time, and the provider may accept your insurance plan even if it is not listed below. Please contact the provider's office to confirm that your insurance is accepted.

Dr. Prachi Avinash Karnik, MD appears to accept the following insurance providers: Cigna, TRICARE, Aetna, Blue Shield of California, Self-Pay/Uninsured, UnitedHealthcare, Sharp Health Plan, Anthem, Beech Street, Health Net, Medicare, HealthSmart, Humana and Whole Foods Market.

Insurance Accepted by Provider includes:

According to our sources, Dr. Prachi Avinash Karnik, MD accepts the following insurance providers:

Cigna
TRICARE
Aetna
Blue Shield of California
Self-Pay/Uninsured
UnitedHealthcare
Sharp Health Plan
Anthem
Beech Street
Health Net
Medicare
HealthSmart
Humana
Whole Foods Market

Ratings & Reviews

Dr. Prachi Avinash Karnik, MD has an exceptional overall rating with an average of 4.8 out of 5 stars based on 312 ratings. We collect ratings and reviews of Dr. Prachi Avinash Karnik, MD from all over the web to help you find the right in El Cajon, CA. 

4.8
Overall Rating
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General Payments

These charts describe general payments received by Dr. Prachi Avinash Karnik, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

Payments by Company
Novo Nordisk Inc $909 Victoza
$350 		RYBELSUS
$315 		Tresiba
$137 		Saxenda
$33 		Ozempic
$20 		Other
$54
GlaxoSmithKline, LLC. $500 TANZEUM
$140 		ADVAIR
$140 		ANORO
$125 		BREO
$75 		ARNUITY
$20
AbbVie, Inc. $238 Androgel
$238
ViiV Healthcare Company $227 APRETUDE
$227
AstraZeneca Pharmaceuticals LP $200 FARXIGA
$200
Other $1,109 Da Vinci Surgical System
$196 		GENERAL - THERAPIES
$127 		INVOKANA
$120 		LINZESS
$111 		Kazano
$105 		Other
$450
Types of Payments
Food and Beverage $2,683
Consulting Fee $500

Biography

After attending the University of California, San Francisco (UCSF), School of Medicine, Dr. Prachi Karnik completed her residency training at a hospital affiliated with the University of California, San Diego (UCSD). Dr. Karnik's areas of expertise include warts, liver disease, and cryosurgery. On average, patients gave her a rating of 5.0 stars (out of 5). She accepts several insurance carriers, including Anthem, UnitedHealthcare, and Blue California. She is affiliated with Sharp HealthCare.

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