Dr Ali Khojasteh Medexcellence LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

R9764 Issued in MO

Legal business name

DR ALI KHOJASTEH MEDEXCELLENCE LLC

Practice address

500 N Keene St
Suite 202
Columbia, MO 65201-8104

Phone

(573) 442-6800

Fax

(573) 449-4943

NPI assigned

Apr 23, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ali Khojasteh, MD

Title

Doctor

Phone

(573) 442-6800

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• COLUMBIA COMPREHENSIVE CANCER CARE Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1429747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429747200000",
    "number": "1831586247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N KEENE ST STE 202",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652018104",
            "telephone_number": "573-442-6800",
            "fax_number": "573-449-4943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N KEENE ST",
            "address_2": "SUITE 202",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652018104",
            "telephone_number": "573-442-6800",
            "fax_number": "573-449-4943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ALI KHOJASTEH MEDEXCELLENCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-23",
        "last_updated": "2015-04-23",
        "status": "A",
        "authorized_official_last_name": "KHOJASTEH",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "573-442-6800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MO",
            "license": "R9764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201083326",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COLUMBIA COMPREHENSIVE CANCER CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pamela Downing, M.D.
• Thomas M Downing, PT
• Deborah Joan Doxsee, PH.D.
• Anne Doyle, M.ED, BCBA
• Scott T Doyle, CRNA
• Dr. Colin a. Malaker, DDS, PC
• Dr. Lori Henderson
• Justin Drager, MD
• Dragonfly Enterprises Inc
• David J Dragoo Jr., D.P.M.

• Specialist in Columbia, MO
• Providers in Columbia, MO by specialty
• Specialist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.