Individual
MS. RAVEENA KARTHIKEYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBBS
Contact information
Practice address
701 N 1ST, SUITE D308, SPRINGFIELD, IL 62702
(215) 481-7320
Mailing address
PO BOX 19638, SPRINGFIELD, IL 62794-9638
(217) 545-4401
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
125.079844
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/26/2021
Last updated
07/14/2022
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