Organization
WASHINGTON UNIVERSITY
Active
Organization
WASHINGTON UNIVERSITY
Active
Other names
Washington University Department of Radiology
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CATHY L EGHIGIAN (SENIOR DIRECTOR MANAGED CARE)
(314) 273-0770
Entity
Organization
Contact information
Practice address
510 S KINGSHIGHWAY BLVD, SAINT LOUIS, MO 63110
(314) 273-0770
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 273-0770
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
—
—
2085N0904X
Nuclear Radiology Physician
—
—
2085P0229X
Pediatric Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0623733
SPECIAL HEALTH CARE NEEDS
MO
01
—
16-01000
UHC GROUP NUMBER
MO
01
—
3917
GHP MASTER VENDOR
MO
01
—
500GA2
BLUE SHIELD
MO
05
—
559722707
—
MO
01
—
610916400
DEPARTMENT OF LABOR
MO
01
—
673341
AETNA HMO GROUP
MO
01
—
92215197
BLUE SHIELD
IL
Enumeration date
06/07/2006
Last updated
04/25/2025
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