POPLAR BLUFF CANCER & RADIATION SPECIALIST LLC – Therapeutic Radiology Physician, NPI 1104963354

POPLAR BLUFF CANCER & RADIATION SPECIALIST LLC is a healthcare provider. based in Saint louis, Missouri. specializing in Therapeutic Radiology Physician. The NPI Number for POPLAR BLUFF CANCER & RADIATION SPECIALIST LLC is 1104963354

Main info

Organization
Name
POPLAR BLUFF CANCER & RADIATION SPECIALIST LLC
NPI
1104963354
Phone
(636) 207-0537
Address
PO BOX 958262
Authorized Official
SUBHASH GUJARATI PHYSICIAN M.D.
Enumeration Date
30 January 2007
Last Update Date
24 May 2010
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

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Provider Addresses for POPLAR BLUFF CANCER & RADIATION SPECIALIST LLC

  • PO BOX 958262

    SAINT LOUIS, MO 631958262

    Phone: (636) 207-0537

    Fax: (636) 207-0221

    Type: Mailing

  • 2620, North Westwood Boulevard, Loma Linda, Poplar Bluff, Butler County, Missouri, 63901, United States

    POPLAR BLUFF, MO 639013396

    Phone: (573) 686-5300

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63195)

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Reviews

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Frequently asked questions

What is the standard ID for POPLAR BLUFF CANCER & RADIATION SPECIALIST LLC in the U.S.?
In the U.S., POPLAR BLUFF CANCER & RADIATION SPECIALIST LLC is identified by NPI 1104963354.
Quick check: is POPLAR BLUFF CANCER & RADIATION SPECIALIST LLC active?
Public NPPES data shows POPLAR BLUFF CANCER & RADIATION SPECIALIST LLC with an active NPI status right now.
What services align with POPLAR BLUFF CANCER & RADIATION SPECIALIST LLC's listing?
POPLAR BLUFF CANCER & RADIATION SPECIALIST LLC's public classification highlights Therapeutic Radiology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit POPLAR BLUFF CANCER & RADIATION SPECIALIST LLC in Saint Louis, Missouri?
For routing, start with Saint Louis, Missouri for POPLAR BLUFF CANCER & RADIATION SPECIALIST LLC, then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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