Provider Demographics
NPI:1578858098
Name:GANOZA SALAS, ARMANDO JAVIER (MD)
Entity Type:Individual
Prefix:DR
First Name:ARMANDO
Middle Name:JAVIER
Last Name:GANOZA SALAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:ARMANDO
Other - Middle Name:JAVIER
Other - Last Name:GANOZA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:3459 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-3236
Mailing Address - Country:US
Mailing Address - Phone:412-647-5800
Mailing Address - Fax:412-647-0362
Practice Address - Street 1:3459 5TH AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-3236
Practice Address - Country:US
Practice Address - Phone:412-647-5800
Practice Address - Fax:412-647-0362
Is Sole Proprietor?:No
Enumeration Date:2011-06-13
Last Update Date:2019-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT199985204F00000X
PAMD454713204F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204F00000XAllopathic & Osteopathic PhysiciansTransplant Surgery