Dr. RAVISHANKAR HASANADKA M.D.
Individual Provider (NPI-1)
Active
Provider Information
- NPI Number
1699858068- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D.
- Status
- Active
Contact & Location
- Address
- 1000 HEALTH CENTER DR, MATTOON, IL, 619384644
- Phone
- (217) 258-4049
- Fax
- (217) 238-4491
Specialties & Taxonomies
Unknown
Primary License: IL #36123015
Unknown
License: OR #MD154236
All Addresses
MAILING
PO BOX 372
MATTOON, IL, 619380372