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Organization
HEARTLAND PATHOLOGY PA
Active
Organization
HEARTLAND PATHOLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HANA RAZEK MD (PRESIDENT)
(316) 636-5666
Entity
Organization
Contact information
Practice address
9300 E 29TH ST N STE 208, WICHITA, KS 67226-2183
(316) 636-5666
Mailing address
PO BOX 3462, WICHITA, KS 67201-3462
(316) 636-5666
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
117927
BCBS
KS
05
—
200268350A
—
KS
Enumeration date
01/23/2006
Last updated
04/29/2026
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