MEDICARE: HEARTLAND NEUROLOGY, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician		MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588700140
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEARTLAND NEUROLOGY, LLC

Provider Business Mailing Address
First Line	:	2800 FORUM BLVD STE 1
Second Line	:
City	:	COLUMBIA
State	:	MO
Zip	:	65203-5468
Country	:	US
Telephone Number	:	660-263-4434
Fax Number	:	941-200-4226

Provider Business Practice Location Address
First Line	:	2800 FORUM BLVD
Second Line	:
City	:	COLUMBIA
State	:	MO
Zip	:	65203-5424
Country	:	US
Telephone Number	:	660-263-4434
Fax Number	:	941-200-4226

Authorized Official
Title or Position	:	OWNER
Name	:	DR. IQBAL AKHTAR YAR KHAN
Credential	:	MD, MS
Telephone Number	:	573-268-5682

Provider Enumeration Date	:	01/30/2007
Last Update Date	:	02/28/2026

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Directions to “HEARTLAND NEUROLOGY, LLC ” Practice Location

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