Individual
GODWIN DEVADHAS PACKIARAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
229 S KIMBERLY AVE, SOMERSET, PA 15501-2022
(412) 639-7194
Mailing address
229 S KIMBERLY AVE, SOMERSET, PA 15501-2022
(412) 639-7194
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
LT000956
PA
208600000X
Surgery Physician
Primary
MD485307
PA
Other
Enumeration date
06/07/2023
Last updated
07/21/2026
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