Hasanadka, Ravishankar

Hasanadka, Ravishankar is an individual health care provider with primary practice located at 1405 W Park St Ste 201 , Urbana IL 61801-2368. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Hasanadka, Ravishankar can be contacted via phone (217) 337-3240.

Contact Information

Primary practice address
1405 W Park St Ste 201 Urbana IL 61801-2368
Phone: (217) 337-3240
Fax: (217) 337-3241
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 36123015 Illinois
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X MD154236 Oregon

Profile Details

NPI number 1699858068
LBN Legal business name Hasanadka, Ravishankar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2006
Last updated Jan 6th, 2020 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1699858068 NPPES
Illinois MEDICAID 036123015
Illinois MEDICAID 500636610

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