Organization
HEARTLAND PATIENT CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AYAZ AHMED MD. (PRESIDENT)
(270) 769-0040
Entity
Organization
Contact information
Practice address
914 N DIXIE AVE, SUITE 302, ELIZABETHTOWN, KY 42701-2520
(270) 769-0892
(270) 769-1857
Mailing address
1503 MANCHESTER DR, ELIZABETHTOWN, KY 42701-7905
(270) 769-0040
(270) 351-7506
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
32313
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100217980
—
KY
Enumeration date
05/08/2007
Last updated
11/30/2012
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