Healthcare Provider Details

I. General information

NPI: 1447684808
Provider Name (Legal Business Name): JOHN SAVOOJI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2013
Last Update Date: 05/02/2025
Certification Date: 05/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1432 SOUTHWEST BLVD
JEFFERSON CITY MO
65109-2444
US

IV. Provider business mailing address

PO BOX 801704
KANSAS CITY MO
64180-1704
US

V. Phone/Fax

Practice location:
  • Phone: 573-632-4800
  • Fax: 573-632-4890
Mailing address:
  • Phone: 573-632-4800
  • Fax: 573-632-4890

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number2022019365
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number287499
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: