| Heartland Internal Medicine Pllc. | |
|
914 N Dixie Ave Elizabethtown KY 42701-2520 | |
| (270) 769-0892 | |
| Not Available |
| Full Name | Heartland Internal Medicine Pllc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 914 N Dixie Ave, Elizabethtown, Kentucky |
| Authorized Official Name and Position | Syed R Quadri (MANAGING MEMBER) |
| Authorized Official Contact | 2703128564 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heartland Internal Medicine Pllc. 425 E Eagle Pass Rd Elizabethtown KY 42701-8576 Ph: (270) 312-8564 | Heartland Internal Medicine Pllc. 914 N Dixie Ave Elizabethtown KY 42701-2520 Ph: (270) 769-0892 |
| NPI Number | 1215149273 |
|---|---|
| Provider Enumeration Date | 05/04/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 4284734088 |
|---|---|
| Medicare Enrollment ID | O20070710000025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215149273 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 34388 (Kentucky) | Primary |
| Provider Name | Syed R P Quadri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912916024 PECOS PAC ID: 9931209707 Enrollment ID: I20070709000384 |
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