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

Individual provider Pediatrics Physician · NPI 1083817886

Dr. Pramod Mallipaddi, MD is a Pediatrics Physician in Urbana, Illinois. Works from 3 locations. Licensed in Illinois, Michigan and North Dakota.

Licensed in
IL, MI, ND
In the registry since
2007
Specialties on file
4
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

611 W Park St
Urbana, IL 61801-2529
Phone: (217) 383-3311
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1304 Franklin Ave, Normal, IL 61761-3558 — (309) 454-1400
  • 1000 South Columbia Road, Grand Forks, ND 58206-6002 — (701) 780-5000

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 036147159 (IL)
Pediatrics Physician Taxonomy 208000000X · Licence 11730 (ND)
Pediatrics Physician Taxonomy 208000000X · Licence 4301085525 (MI)
Neonatal-Perinatal Medicine Physician Taxonomy 2080N0001X · Licence 036147159 (IL)

Record details

NPI number1083817886
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 8, 2007
Last updated in NPPESOctober 24, 2025
Certification dateOctober 24, 2025

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