Poplar Bluff Cancer & Radiation Specialist LLC
NPI 1104963354 · Therapeutic Radiology Physician · Poplar Bluff, MO
Poplar Bluff Cancer & Radiation Specialist LLC is a Therapeutic Radiology Physician organization in Poplar Bluff, MO (NPI 1104963354).
Provider details
- NPI number
- 1104963354
- Entity type
- Organization
- Primary specialty
- Therapeutic Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Subhash Gujarati, Physician(573) 686-5300
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-01-30
- Last updated
- 2010-05-24
Frequently asked questions
- What is Poplar Bluff Cancer & Radiation Specialist LLC's NPI number?
- Poplar Bluff Cancer & Radiation Specialist LLC's National Provider Identifier (NPI) is 1104963354, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Poplar Bluff Cancer & Radiation Specialist LLC?
- Poplar Bluff Cancer & Radiation Specialist LLC is classified in the NPPES registry as Therapeutic Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Poplar Bluff Cancer & Radiation Specialist LLC located?
- Poplar Bluff Cancer & Radiation Specialist LLC's practice location on file with NPPES is 2620 N Westwood Blvd, Poplar Bluff, MO 63901-3396.
- What is Poplar Bluff Cancer & Radiation Specialist LLC's phone number?
- The practice phone number listed in the NPPES registry for Poplar Bluff Cancer & Radiation Specialist LLC is (573) 686-5300.
- Who is the authorized official for Poplar Bluff Cancer & Radiation Specialist LLC?
- The authorized official listed on Poplar Bluff Cancer & Radiation Specialist LLC's NPPES record is Subhash Gujarati, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Poplar Bluff Cancer & Radiation Specialist LLC's NPI active?
- Yes — Poplar Bluff Cancer & Radiation Specialist LLC's NPI (1104963354) is active in the NPPES registry as of the last update on 2010-05-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.