Ravindranathan, Pg
Ravindranathan, Pg is an sole proprietor health care provider with primary practice located at 2409 Broadway St , Mount Vernon IL 62864-2917. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ravindranathan, Pg can be contacted via phone (618) 696-2311.Contact Information
Primary practice address
2409 Broadway St
Mount Vernon IL 62864-2917
Phone: (618) 696-2311
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036046577 | Illinois |
Profile Details
| NPI number | 1477707149 |
|---|---|
| LBN Legal business name | Ravindranathan, Pg |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 7th, 2008 |
| Last updated | Nov 7th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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