Individual
DR. MITHAQ VAHEDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2116 CRAIG RD, EAU CLAIRE, WI 54701-6149
(715) 858-4770
(715) 858-4509
Mailing address
2116 CRAIG RD, EAU CLAIRE, WI 54701-6149
(715) 858-4770
(715) 858-4509
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
277593
NY
207P00000X
Emergency Medicine Physician
4301100583
MI
207P00000X
Emergency Medicine Physician
83403
WI
207W00000X
Ophthalmology Physician
2022006661
MO
207W00000X
Ophthalmology Physician
4301100583
MI
207W00000X
Ophthalmology Physician
Primary
83403
WI
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
8340320
WI
390200000X
Student in an Organized Health Care Education/Training Program
BP10086196
TX
Other
Enumeration date
07/06/2012
Last updated
06/20/2025
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