Provider Demographics
NPI:1922445097
Name:HARITHA, JOSNA (MD)
Entity Type:Individual
Prefix:
First Name:JOSNA
Middle Name:
Last Name:HARITHA
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 1:800 BIESTERFIELD RD STE 4003
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE VILLAGE
Mailing Address - State:IL
Mailing Address - Zip Code:60007-3371
Mailing Address - Country:US
Mailing Address - Phone:847-364-0800
Mailing Address - Fax:847-364-0808
Practice Address - Street 1:800 BIESTERFIELD RD STE 4003
Practice Address - Street 2:
Practice Address - City:ELK GROVE VILLAGE
Practice Address - State:IL
Practice Address - Zip Code:60007-3371
Practice Address - Country:US
Practice Address - Phone:847-364-0800
Practice Address - Fax:847-364-0808
Is Sole Proprietor?:No
Enumeration Date:2013-05-30
Last Update Date:2021-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-142562207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology