Individual
DR. XAVIER RAJESH PACKIANATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
633 GOV CARLOS CAMACHO RD, SUITE 210, TAMUNING, GU 96913
(671) 649-1001
Mailing address
116 REDONDO DE FRANCISCO ST, TAMUNING, GU 96913-3718
(671) 483-9226
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
M-1944
GU
2085R0202X
Diagnostic Radiology Physician
MD42582
TN
2085R0204X
Vascular & Interventional Radiology Physician
Primary
M-1944
GU
2085R0204X
Vascular & Interventional Radiology Physician
MD42582
TN
Other
Enumeration date
04/26/2007
Last updated
03/16/2020
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