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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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