Provider Demographics
NPI:1659924710
Name:HUGHES, ANDREW EVERETT OLIVER (MD PHD)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:EVERETT OLIVER
Last Name:HUGHES
Suffix:
Gender:
Credentials:MD PHD
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Other - Credentials:
Mailing Address - Street 1:PO BOX 7412011
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60674-2011
Mailing Address - Country:US
Mailing Address - Phone:314-362-5641
Mailing Address - Fax:314-362-0369
Practice Address - Street 1:4320 FOREST PARK AVE
Practice Address - Street 2:DIV PA, GENOMIC AND MOLECULAR PATHOLOGY, STE 209
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63108-2979
Practice Address - Country:US
Practice Address - Phone:314-362-5641
Practice Address - Fax:314-362-0369
Is Sole Proprietor?:No
Enumeration Date:2019-07-18
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2022008833207ZC0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZC0006XAllopathic & Osteopathic PhysiciansPathologyClinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO200075290Medicaid