Individual
ATHRA KAVIANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
777 PARK AVE W, HIGHLAND PARK, IL 60035-2433
(847) 570-2530
(847) 570-0231
Mailing address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7201
(214) 345-6789
(214) 645-0078
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036153112
IL
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
Q5001
TX
208M00000X
Hospitalist Physician
036153112
IL
Other
Enumeration date
03/23/2013
Last updated
11/16/2022
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