Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Poplar Bluff Cancer & Radiation Specialist LLC

Therapeutic Radiology Physician in Poplar Bluff, MO · enumerated 2007 · authorized official Subhash Gujarati, Physician.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104963354

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Registry record

Entity type Organization (Type 2)

Legal business name Poplar Bluff Cancer & Radiation Specialist LLC

Practice address 2620 N Westwood Blvd, Poplar Bluff, MO, 63901

Phone (573) 686-5300

Enumeration date Jan 30, 2007

Last updated in NPPES May 24, 2010

Taxonomy & classification

2085R0203X Therapeutic Radiology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Subhash Gujarati

Title Physician

Phone (573) 686-5300

Other identifiers

Identifier	Type	State	Issuer
711887000	Medicaid	MO	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Poplar Bluff Cancer & Radiation Specialist LLC?

The NPI for Poplar Bluff Cancer & Radiation Specialist LLC is 1104963354, a Type 2 (organization) record in the CMS NPPES registry.

Who is the authorized official for Poplar Bluff Cancer & Radiation Specialist LLC?

NPPES lists Subhash Gujarati (Physician) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-05-24.