| Heartland Neurology, Llc | |
|
300 N. Morley Suite H Moberly MO 65270 | |
| (660) 263-4434 | |
| (660) 263-4436 |
| Full Name | Heartland Neurology, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 300 N. Morley, Moberly, Missouri |
| Authorized Official Name and Position | Iqbal Akhtar Yar Khan (OWNER) |
| Authorized Official Contact | 5372685682 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heartland Neurology, Llc 1513 Union Ave Ste 2800 Moberly MO 65270-9403 Ph: (660) 263-4434 | Heartland Neurology, Llc 300 N. Morley Suite H Moberly MO 65270 Ph: (660) 263-4434 |
| NPI Number | 1588700140 |
|---|---|
| Provider Enumeration Date | 01/30/2007 |
| Last Update Date | 07/19/2024 |
| Certification Date | 07/19/2024 |
| Medicare PECOS PAC ID | 8921195389 |
|---|---|
| Medicare Enrollment ID | O20071101000119 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588700140 | NPI | - | NPPES |
| 509417507 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (Missouri) | Primary |
| Provider Name | Iqbal Khan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003967977 PECOS PAC ID: 3476640848 Enrollment ID: I20101220000366 |
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