Healthcare Provider Details

I. General information

NPI: 1215101712
Provider Name (Legal Business Name): STEVEN SAUK MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2008
Last Update Date: 03/10/2026
Certification Date: 03/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

510 S KINGSHIGHWAY BLVD DEPT RADIOLOGY 6TH FL
SAINT LOUIS MO
63110-1016
US

IV. Provider business mailing address

PO BOX 7412011
CHICAGO IL
60674-2011
US

V. Phone/Fax

Practice location:
  • Phone: 314-362-2900
  • Fax: 314-362-2276
Mailing address:
  • Phone: 314-362-2900
  • Fax: 314-362-2276

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number2021037366
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number2021037366
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: