# PRIME TIME PHYSICIANS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215787700
- **Authorized official:** AYAAZ HABIBULLAH MD (OWNER)
- **Authorized official phone:** (573) 268-5725

## Contact information

- **Practice address:** 217 W REED ST, STE A5, MOBERLY, MO 65270
- **Practice address phone:** (573) 268-5725
- **Practice address fax:** (877) 673-1509
- **Mailing address:** 1605 KEEGAN CT, COLUMBIA, MO 65203-6252
- **Mailing address phone:** (573) 268-5725

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |

## Other

- **Enumeration date:** 03/26/2024
- **Last updated:** 09/23/2024