Individual
HESHAAM A LATIFI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
315 S OSTEOPATHY AVE, KIRKSVILLE, MO 63501-6401
(660) 785-1000
Mailing address
315 S OSTEOPATHY AVE, KIRKSVILLE, MO 63501-6401
(630) 597-8642
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2025048999
MO
207Q00000X
Family Medicine Physician
Primary
2025048999
MO
Other
Enumeration date
07/01/2024
Last updated
11/25/2025
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