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NPI · 1104963354 · NPPES-sourced

Poplar Bluff Cancer & Radiation Specialist LLC

ActiveTherapeutic Radiology Physician
NPI Number
1104963354
Type 2 · Organisation
Taxonomy Code
2085R0203X
Contact
(573) 686-5300
Primary practice line
Last Updated
Enumerated
Primary practice addressMO · 63901-3396
2620 N Westwood BlvdPoplar Bluff, MO 63901-3396
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About this NPIWhat this record shows.

NPI 1104963354 is registered to Poplar Bluff Cancer & Radiation Specialist LLC, a healthcare organisation classified as "Therapeutic Radiology Physician" and located at 2620 N Westwood Blvd in Poplar Bluff, Missouri. The organisation's authorised official is Subhash Gujarati. The organisation has been enumerated in the NPI registry since 2007.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Medicaid

Source: NPPES public registry.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Poplar Bluff Cancer & Radiation Specialist LLC accepts. To confirm in-network status with your specific health plan, contact Poplar Bluff Cancer & Radiation Specialist LLC directly at (573) 686-5300.

Frequently asked

Yes. NPI 1104963354 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Therapeutic Radiology Physician is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (573) 686-5300.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Poplar Bluff Cancer & Radiation Specialist LLC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy2085R0203X
Last updated
Enumerated
StatusActive
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1 record · same addressOther providers at this location.

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Same specialtyOther Therapeutic Radiology Physician providers in Missouri.

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