← CMS Doctors and Clinicians
HASITHA R IDANGODAGE, MD
FAMILY PRACTICE · PANA, IL
Provider
- NPI
1114367356- Credential
- MD
- Primary specialty
- FAMILY PRACTICE
- Gender
- Male
- Medical school
- OTHER
- Graduation year
- 2010
Practice
- Address
- 101 E 9TH ST, PANA, IL 625571716
- Phone
- 2175626246
- Accepts Medicare
- Yes (individual)
- Telehealth
- No
Source
- Authoritative
- NPI Registry
- Machine
- JSON-LD · Markdown