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

Dr. Prabhavathi Mariyappa, MD

Individual provider Pediatric Emergency Medicine (Pediatrics) Physician · NPI 1336175207

Dr. Prabhavathi Mariyappa, MD is a Pediatric Emergency Medicine (Pediatrics) Physician in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
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

1901 W Harrison St John H Stroger Jr Hospital Dept OF Pediatrics
Chicago, IL 60612-3714
Phone: (312) 864-1523
Show map & directions

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

Specialties & licences

Pediatric Emergency Medicine (Pediatrics) Physician (primary) Taxonomy 2080P0204X (IL)

Record details

NPI number1336175207
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 23, 2006
Last updated in NPPESJuly 8, 2007

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