Individual
DR. MANNIL RAVINDRANATHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1008 W CHERRY ST, STE D, MARION, IL 62959-1998
(618) 997-2396
(618) 997-1901
Mailing address
1505.N.SMITH, MARION, IL 62959
(618) 993-2413
(618) 997-1901
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
3648567
IL
Other
Enumeration date
06/25/2005
Last updated
03/15/2013
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