Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | MD442917 | PA |
NPI | 1326202888 |
---|---|
Provider Name | Vikraman Gunabushanam |
First Address | Pittsburgh, PA 15213 |
Second Address | Pittsburgh, PA 15213-3236 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2008 |
Last Update Date | 25/03/2021 |