Organization
DR ALI KHOJASTEH MEDEXCELLENCE LLC
Active
Other names
COLUMBIA COMPREHENSIVE CANCER CARE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALI KHOJASTEH MD (DOCTOR)
(573) 442-6800
Entity
Organization
Contact information
Practice address
500 N KEENE ST, SUITE 202, COLUMBIA, MO 65201-8104
(573) 442-6800
(573) 449-4943
Mailing address
500 N KEENE ST STE 202, COLUMBIA, MO 65201-8104
(573) 442-6800
(573) 449-4943
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
R9764
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201083326
—
MO
Enumeration date
04/23/2015
Last updated
04/23/2015
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