Organization
ST JOSEPH ONCOLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAJAGOPAL R RANGINENI MD (PRESIDENT)
(816) 271-1301
Entity
Organization
Contact information
Practice address
902 NO RIVERSIDE RD, SUITE 200, ST JOSEPH, MO 64507
(816) 271-1301
(816) 271-1302
Mailing address
902 NO RIVERSIDE RD, SUITE 200, ST JOSEPH, MO 64507
(816) 271-1301
(816) 271-1302
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
073224
BLUE CROSS BLUE SHIELD
KS
01
—
110494
BLUE CROSS BLUE SHIELD
KS
01
—
13453018
BLUE CROSS BLUE SHIELD
MO
Enumeration date
03/22/2006
Last updated
08/22/2020
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