Organization
HEARTLAND DIGESTIVE DISEASE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KASHIF B HAIDER MD (PRESIDENT)
(270) 234-8866
Entity
Organization
Contact information
Practice address
2406 RING RD, ELIZABETHTOWN, KY 42701-7940
(270) 234-8866
(270) 234-1355
Mailing address
2406 RING RD, ELIZABETHTOWN, KY 42701-7940
(270) 234-8866
(270) 234-1355
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1151619
PASSPORT GROUP NUMBER
KY
05
—
65935926
—
KY
Enumeration date
01/11/2007
Last updated
08/22/2020
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