Provider Demographics
NPI:1134219298
Name:KARTHA, NINITH V (MD)
Entity type:Individual
Prefix:
First Name:NINITH
Middle Name:V
Last Name:KARTHA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:920 MILWAUKEE AVE STE 2100
Mailing Address - Street 2:
Mailing Address - City:LINCOLNSHIRE
Mailing Address - State:IL
Mailing Address - Zip Code:60069-3839
Mailing Address - Country:US
Mailing Address - Phone:847-570-2570
Mailing Address - Fax:
Practice Address - Street 1:920 MILWAUKEE AVE STE 2100
Practice Address - Street 2:
Practice Address - City:LINCOLNSHIRE
Practice Address - State:IL
Practice Address - Zip Code:60069-3839
Practice Address - Country:US
Practice Address - Phone:847-570-2570
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43010798662084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4417213Medicaid
MI4417213Medicaid
MIH68180Medicare UPIN