Provider Demographics
NPI:1982398384
Name:PACKIARAJ, GODWIN DEVADHAS (MD)
Entity Type:Individual
Prefix:
First Name:GODWIN
Middle Name:DEVADHAS
Last Name:PACKIARAJ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3459 FIFTH AVENUE, 7 SOUTH
Mailing Address - Street 2:UPMC MONTEFIORE
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213
Mailing Address - Country:US
Mailing Address - Phone:412-639-7194
Mailing Address - Fax:
Practice Address - Street 1:UPMC MONTEFIORE, THOMAS E STARZI TRANSPLANTATION INSTIT
Practice Address - Street 2:3459 FIFTH AVENUE, 7 SOUTH
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213
Practice Address - Country:US
Practice Address - Phone:412-647-5800
Practice Address - Fax:412-647-5070
Is Sole Proprietor?:No
Enumeration Date:2023-06-07
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PALT000956204F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204F00000XAllopathic & Osteopathic PhysiciansTransplant Surgery