# HEARTLAND THERAPEUTICS, LLC

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

## Provider details

- **NPI number:** 1538548391
- **Authorized official:** ABDULLAHI ISA MUBARAK MD (OWNER)
- **Authorized official phone:** (937) 701-0031

## Contact information

- **Practice address:** HEARTLAND THERAPEUTICS, 6310 N. MAIN ST., DAYTON, OH 45415-3155
- **Practice address phone:** (937) 701-0030
- **Practice address fax:** (937) 221-9268
- **Mailing address:** HEARTLAND THERAPEUTICS, 6310 N. MAIN ST., DAYTON, OH 45415-3155
- **Mailing address phone:** (937) 701-0030
- **Mailing address fax:** (937) 221-9268

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LA0401X | Addiction Medicine (Anesthesiology) Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 261QH0100X | Health Service Clinic/Center | 35051593 | OH | — |

## Other

- **Enumeration date:** 05/27/2015
- **Last updated:** 10/15/2026