DR. XAVIER RAJESH PACKIANATHAN (NPI# 1669692059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669692059 |
| Entity Type | Individual |
| Full Name | DR. XAVIER RAJESH PACKIANATHAN |
| Credential | MD |
| Practice Address |
633 Gov Carlos Camacho Rd Suite 210 Tamuning GU 96913 |
| Mailing Address |
116 Redondo De Francisco St Tamuning GU 96913-3718 |
| Practice Telephone | 6716491001 |
| Mailing Telephone | 6714839226 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-03-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
M-1944 | GU | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD42582 | TN | Allopathic & Osteopathic Physicians |
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
M-1944 | GU | Allopathic & Osteopathic Physicians |
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
MD42582 | TN | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 865 Jefferson Ave, Suite F150c, Memphis, TN 38163 | 9014484454 |
| Street Address |
633 GOV CARLOS CAMACHO RD SUITE 210 |
| City | TAMUNING |
| State | GU |
| Zip Code | 96913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346245362 | Roberto Molina Martinez | Radiology | 633 Gov Carlos Camacho Rd, Guam Radiology - Suite 210, Tamuning, GU 96913 | 2005-06-16 |
| 1447447081 | Steven Andrew Tull | Physician Assistant | 633 Gov Carlos Camacho Rd, Suite 205, Tamuning, GU 96913 | 2007-09-27 |
| 1396860151 | Kwang Ming Chen | Psychiatry & Neurology | 633 Gov Carlos Camacho Rd, Ste 212 Pacfic Hand Surgery Center, Tamuning, GU 96913 | 2007-03-20 |
| 1952497802 | Jan Anders Bollinger | Orthopaedic Surgery | 633 Gov Carlos Camacho Rd, Suite 212 Guam Medical Plaza, Tamuning, GU 96913 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871126219 | Hannah Marie Sabo Laney | Behavior Technician | 212 Farenholt Ave., Tamuning, GU 96913 | 2020-02-13 |
| 1720618499 | Jacquelin Gouniai | Counselor | 121 North Sabana Drive Detcha Court, Barrigada Heights, GU 96913 | 2020-01-22 |
| 1205475753 | Gabriela Victoria Perez | Behavior Technician | 212 Farenholt Ave, Tamuning, GU 96913 | 2020-01-02 |
| 1073154944 | Quenie-mei Tuliao Fisher | Pharmacist | 790 Governor Carlos Camacho Rd, Tamuning, GU 96913 | 2019-10-02 |
| 1366090698 | Elizabeth Rabon | Technician | 251 Carnation Ave, Mangilao, GU 96913 | 2019-08-29 |
| 1467000299 | Yun Ming Lin | Pharmacist | 850 Gov. Carlos Camacho Street, Tamuning, GU 96913 | 2019-08-26 |
| 1902465354 | Anthony John Litwinchuk Jr. | Audiologist | Usnh Guam - Audiology Department, Bldg #50 Farenholt Ave, Agana Heights, GU 96913 | 2019-06-10 |
| 1124580600 | Khkn Corporation | Acupuncturist | 817 N Marine Corps Dr 109, Tamuning, GU 96913 | 2019-04-03 |
| 1700346541 | Amc Mental Health, LLC | Marriage & Family Therapist | 263 Vietnam Veterans Highway, Mangilao, GU 96913 | 2019-03-20 |
| 1295292365 | Jhaymie Lynn Salarzon Bejerana | Behavior Technician | Building 1350 #216, Upper Tumon, GU 96913 | 2019-02-26 |
| Find all providers in zip 96913 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568462513 | Jeffery D. Shay | Radiology | Guam Medical Plaza, Ste. 210, 633 Gov. Camacho Rd, Tamuning, GU 96913 | 2005-07-29 |
| 1861780124 | Miran Ribati | Radiology | 850 Gov Carlos G Camacho Rd, Tamuning, GU 96913-3128 | 2011-07-20 |
Please comment or provide details below to improve the information on DR. XAVIER RAJESH PACKIANATHAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.