Healthcare Provider Details
I. General information
NPI: 1700704970
Provider Name (Legal Business Name): UNIVERSAL RADIOLOGY PARTNERS OF WASHINGTON DC, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1200 PECAN ST SE
WASHINGTON DC
20032-2652
US
IV. Provider business mailing address
2326 S CONGRESS AVE STE 1C
WEST PALM BEACH FL
33406-7652
US
V. Phone/Fax
- Phone: 771-444-6200
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2085N0700X |
| Taxonomy | Neuroradiology Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2085R0202X |
| Taxonomy | Diagnostic Radiology Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2085R0204X |
| Taxonomy | Vascular & Interventional Radiology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DANIELA
GHIRAGOSSIAN
Title or Position: ADMINISTRATOR
Credential:
Phone: 561-486-8284