OrganizationActive
Poplar Bluff Cancer & Radiation Specialist LLC
NPI 1104963354 · Therapeutic Radiology Physician · Poplar Bluff, MO
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
Practice location
2620 N Westwood Blvd
Poplar Bluff, MO 63901-3396
Phone: (573) 686-5300
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 958262
Saint Louis, MO 63195-8262
Registry dates
- Enumerated
- 2007-01-30
- Last updated
- 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.