Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pg Ravindranathan, MD

Individual provider Family Medicine Physician · NPI 1477707149

Pg Ravindranathan, MD is a Family Medicine Physician in Mount Vernon, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2409 Broadway St
Mount Vernon, IL 62864-2917
Phone: (618) 696-2311
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036046577 (IL)

Record details

NPI number1477707149
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 7, 2008
Last updated in NPPESNovember 7, 2008
Mailing address2409 Broadway St, Mount Vernon, IL 62864-2917

Other providers in Mount Vernon