Individual
HIRAD S. HEDAYAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-5400
(414) 955-0115
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-5400
(414) 955-0115
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
25MA09867600
NJ
207T00000X
Neurological Surgery Physician
Primary
73873
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0512770
—
NJ
Enumeration date
06/09/2010
Last updated
08/13/2020
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