Individual
KAMYAR HAGHAYEGHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1221 WHIPPLE ST, EAU CLAIRE, WI 54703-5200
(715) 838-5222
Mailing address
1221 WHIPPLE ST, EAU CLAIRE, WI 54703-5200
(715) 838-5222
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
81060
WI
207R00000X
Internal Medicine Physician
S2987
TX
208M00000X
Hospitalist Physician
81060
WI
208M00000X
Hospitalist Physician
S2987
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
402251901
—
TX
01
—
402251902
CSHCN
TX
Enumeration date
11/23/2010
Last updated
02/08/2023
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