Provider Demographics
NPI:1275507931
Name:MORELL, VICTOR O (MD)
Entity Type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:O
Last Name:MORELL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:4401 PENN AVENUE
Mailing Address - Street 2:5TH FLOOR, FACULTY PAVILION
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15224
Mailing Address - Country:US
Mailing Address - Phone:412-692-7625
Mailing Address - Fax:412-692-5817
Practice Address - Street 1:4401 PENN AVENUE
Practice Address - Street 2:CHILDREN'S HOSPITAL OF PITTSBURGH OF UPMC
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224
Practice Address - Country:US
Practice Address - Phone:412-692-7625
Practice Address - Fax:412-692-5817
Is Sole Proprietor?:No
Enumeration Date:2006-02-17
Last Update Date:2021-05-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD044570L174400000X, 208G00000X
FLME1187722086S0120X, 208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
No174400000XOther Service ProvidersSpecialist
No2086S0120XAllopathic & Osteopathic PhysiciansSurgeryPediatric Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA101004016Medicaid
PA080310FKYMedicare ID - Type Unspecified
PA101004016Medicaid