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Dr. Ravishankar Hasanadka, MD
Vascular Surgery Physician in Urbana, Illinois
NPI 1699858068

Ravishankar Hasanadka is a Vascular Surgery Physician based in Urbana, IL and is specialized in Vascular Surgery. Ravishankar Hasanadka practices in Urbana, IL and has the professional credentials of MD. The NPI Number for Ravishankar Hasanadka is 1699858068 and holds a License No. 36123015 (Illinois).

The current practice location address for Ravishankar Hasanadka is 1405 W Park St Ste 201, Urbana, IL and can be reached out via phone at 217-337-3240 and via fax at 217-337-3241.

Location: 1405 W Park St Ste 201, Urbana, IL, 61801-2368
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699858068
Provider Name
Ravishankar Hasanadka
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1405 W Park St Ste 201, Urbana, IL, 61801-2368
Phone Number
217-337-3240
Fax Number
217-337-3241
Provider Enumeration Date
10/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036123015 05 IL
500636610 05 OR
institution
Provider Business Practice Location Address Details
Address
1405 W Park St Ste 201
City
Urbana
State
Illinois
Zip
61801-2368
Phone Number
217-337-3240
Fax Number
217-337-3241
person
Provider Business Mailing Address Details
Address
1405 W Park St Ste 201
City
Urbana
State
Illinois
Zip
61801-2368
Phone Number
217-337-3240
Fax Number
217-337-3241
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
2086S0129X
License No.
36123015 (Illinois)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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