Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Athra Kaviani, MD

Individual provider Pediatrics Physician · NPI 1619219011

Athra Kaviani, MD is a Pediatrics Physician in Highland Park, Illinois. Licensed in Illinois and Texas. Registered with an NPI since 2013.

Licensed in
IL, TX
In the registry since
2013
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

777 Park Ave W
Highland Park, IL 60035-2433
Phone: (847) 570-2530
Fax: (847) 570-0231
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neonatal-Perinatal Medicine Physician (primary) Taxonomy 2080N0001X · Licence Q5001 (TX)
Pediatrics Physician Taxonomy 208000000X · Licence 036153112 (IL)
Hospitalist Physician Taxonomy 208M00000X · Licence 036153112 (IL)

Record details

NPI number1619219011
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 23, 2013
Last updated in NPPESNovember 16, 2022
Certification dateNovember 16, 2022
Mailing address5323 Harry Hines Blvd, Dallas, TX 75390-7201

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