Trained at UC San Francisco School of Medicine (2001) and board-certified in internal medicine, Prachi A. Karnik, MD practices at Sharp Rees-Stealy's Bankers Hill campus on Fir Street in downtown San Diego. Her clinical focus on adult chronic disease management spans asthma, osteoporosis, diabetes, and weight management, with periodontal comorbidity screenings generating oral health referrals to Soft Touch Dental Bankers Hill in the same district. Participation in Sharp Rees-Stealy's Climate and Planetary Health Committee reflects an evidence-based approach to environmental determinants of chronic respiratory and cardiovascular disease in the downtown patient population. Hormonal and metabolic evaluations at this Fir Street office address thyroid dysfunction and perimenopause, conditions also managed within the Bankers Hill endocrine-health corridor that includes Hormones +Wellness by SDBotox. Highest-complexity services include multi-morbidity care planning with simultaneous HbA1c optimization, DEXA-based osteoporosis staging, and spirometric asthma classification under current GINA and ADA guideline protocols.