Pg Ravindranathan, MD
NPI #1477707149 in Mount Vernon, Illinois
Provider Information
- NPI Number
- 1477707149
- Entity Type
- Individual
- Name
- Pg Ravindranathan, MD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Family Medicine
- Credential
- MD
- Enumeration Date
- Nov 7, 2008
- Last Updated
- Nov 7, 2008
Practice Location
- Address
- 2409 BROADWAY ST
- City
- Mount Vernon
- State
- Illinois
- ZIP Code
- 62864-2917
- Phone
- (618) 696-2311
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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