Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Poplar Bluff Cancer & Radiation Specialist LLC

Organization Therapeutic Radiology Physician · NPI 1104963354

Poplar Bluff Cancer & Radiation Specialist LLC is a Therapeutic Radiology Physician in Poplar Bluff, Missouri. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2620 N Westwood Blvd
Poplar Bluff, MO 63901-3396
Phone: (573) 686-5300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Therapeutic Radiology Physician (primary) Taxonomy 2085R0203X

Record details

NPI number1104963354
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Subhash Gujarati — Physician · (573) 686-5300
NPI enumeratedJanuary 30, 2007
Last updated in NPPESMay 24, 2010
Mailing addressPo Box 958262, Saint Louis, MO 63195-8262

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