Healthcare Provider Details

I. General information

NPI: 1255128930
Provider Name (Legal Business Name): ZEKI BEYHAN PHD, HCLD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2025
Last Update Date: 04/24/2025
Certification Date: 04/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2365 DEMING WAY
MIDDLETON WI
53562-5512
US

IV. Provider business mailing address

604 BOULDER TRL
WAUNAKEE WI
53597-3134
US

V. Phone/Fax

Practice location:
  • Phone: 608-824-6181
  • Fax:
Mailing address:
  • Phone: 702-539-8530
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number20100916
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: