Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PG RAVINDRANATHAN, MD
Active Sole ProprietorPG RAVINDRANATHAN, MD is a Family Medicine healthcare provider located in MOUNT VERNON, Illinois. NPI 1477707149 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · MOUNT VERNON, IL
Registration Details
- NPI Number
- 1477707149
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 7, 2008 (17.753402518115 yrs)
- Last Updated
- Nov 7, 2008
- License
-
036046577 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2409 BROADWAY STMOUNT VERNON, IL, 628642917Browse IL providers · Browse ZIP 62864
- Phone
- 6186962311
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in MOUNT VERNON, IL
| Name | Credential | NPI |
|---|---|---|
| DR. SUZANNE E ALT | DO | 1811995566 |
| DR. MURKE FRANKLIN HARRISON | DO LTD | 1003807157 |
| DR. SARA KNEEDLER MODERT | D.O. | 1700866258 |
| CHRISTOPHER WILSON MODERT | D.O. | 1477527604 |
| DR. JEFFREY R BARRA | M.D. | 1679548713 |
| DR. CHARLES W NEAL | M.D. | 1053380683 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.