RAVISHANKAR HASANADKA

MATTOON, IL
NPI1699858068
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2086S0129X 
(Licence: IL  36123015)
Additional Taxonomies2086S0129X 
(Licence: OR  MD154236)
Enumeration Date2006-10-21
Last Update Date2025-10-21
Business Address
Dr. RAVISHANKAR HASANADKA M.D.
1000 HEALTH CENTER DR
MATTOON, IL 61938-4644
Phone number: 217-258-4049
Mailing Address
Dr. RAVISHANKAR HASANADKA M.D.
PO BOX 372
MATTOON, IL 61938-0372
Phone number: 217-258-2581