ASHWATH RAVISANKAR
NPI 1023864881
Student in an Organized Health Care Education/Training Program in Peoria, IL

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since April 24, 2024

530 NE GLEN OAK AVE, PEORIA, IL 61637(309) 655-2000 Get Directions Write a Review

NPPES record last updated: April 24, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Ashwath Ravisankar NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ASHWATH RAVISANKAR (NPI 1023864881) is an individual student in an organized health care education/training program in Peoria, Illinois and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1023864881

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameASHWATH RAVISANKAR

Location Address530 NE GLEN OAK AVEPeoria, IL 61637-0001

Mailing Address530 Ne Glen Oak AvePeoria, IL 61637-0001 · (309) 655-2000

Phone(309) 655-2000

Sole ProprietorYes

Enumeration DateApril 24, 2024

NPPES CertifiedMarch 26, 2024

✔ NPI 1023864881 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

530 NE GLEN OAK AVE, Peoria, IL 61637

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