| Heartland Physicians Associates Pllc | |
|
2222 Maroneal St 1716 Houston TX 77030-3242 | |
| (304) 346-1969 | |
| Not Available |
| Full Name | Heartland Physicians Associates Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2222 Maroneal St, Houston, Texas |
| Authorized Official Name and Position | Khurram Rafi Shaikh (PRESIDENT) |
| Authorized Official Contact | 3043461969 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heartland Physicians Associates Pllc 2222 Maroneal St 1716 Houston TX 77030-3242 Ph: (304) 346-1969 | Heartland Physicians Associates Pllc 2222 Maroneal St 1716 Houston TX 77030-3242 Ph: (304) 346-1969 |
| NPI Number | 1003170226 |
|---|---|
| Provider Enumeration Date | 07/03/2012 |
| Last Update Date | 07/03/2012 |
| Medicare PECOS PAC ID | 1658521174 |
|---|---|
| Medicare Enrollment ID | O20121018000426 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003170226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | N8984 (Texas) | Primary |
| Provider Name | Khurram R Shaikh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902022056 PECOS PAC ID: 4284806621 Enrollment ID: I20111007000436 |
| Provider Name | Ngozi Ukwuoma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447653522 PECOS PAC ID: 7719201078 Enrollment ID: I20150115002111 |
| Provider Name | Ene Isidahomen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548981749 PECOS PAC ID: 7618344300 Enrollment ID: I20221109002792 |
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