Organization
WASHINGTON IMAGING LLC
Active
Organization
WASHINGTON IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUNG MAN CHA M.D. (GEN PTR)
(812) 254-2760
Entity
Organization
Contact information
Practice address
1314 E WALNUT ST, WASHINGTON, IN 47501-2860
(812) 254-2760
(812) 882-8620
Mailing address
PO BOX 701, WASHINGTON, IN 47501-0701
(812) 254-2760
(812) 882-8620
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01048180
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200114270A
—
IN
Enumeration date
11/30/2006
Last updated
10/08/2010
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