Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RAVISHANKAR HASANADKA, M.D.
ActiveDR. RAVISHANKAR HASANADKA, M.D. is a Vascular Surgery healthcare provider located in MATTOON, Illinois. NPI 1699858068 is currently active in the NPPES registry. Verify at CMS.
Vascular Surgery · MATTOON, IL
Registration Details
- NPI Number
- 1699858068
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 21, 2006 (19.836569913536 yrs)
- Last Updated
- Oct 21, 2025
- Licenses
-
36123015 (IL)MD154236 (OR)
Practice Information
- Address
-
1000 HEALTH CENTER DRMATTOON, IL, 619384644Browse IL providers · Browse ZIP 61938
- Phone
- 2172584049
- Fax
- 2172584135
- Primary Specialty
-
Vascular Surgery
2086S0129X
- Additional Specialty
- Vascular Surgery
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.