Provider Demographics
NPI:1750304952
Name:VAKHARIA, MITUL ROHIT (MD)
Entity Type:Individual
Prefix:DR
First Name:MITUL
Middle Name:ROHIT
Last Name:VAKHARIA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:NEW VISION OF ILLINOIS EYE ASSOCIATES
Mailing Address - Street 2:2929 MCFARLAND ROAD
Mailing Address - City:ROCKFORD
Mailing Address - State:IL
Mailing Address - Zip Code:61107
Mailing Address - Country:US
Mailing Address - Phone:815-654-2020
Mailing Address - Fax:815-654-0393
Practice Address - Street 1:NEW VISION OF ILLINOIS EYE ASSOCIATES
Practice Address - Street 2:2929 MCFARLAND ROAD
Practice Address - City:ROCKFORD
Practice Address - State:IL
Practice Address - Zip Code:61107
Practice Address - Country:US
Practice Address - Phone:815-654-2020
Practice Address - Fax:815-654-0393
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2010-01-29
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Provider Licenses
StateLicense IDTaxonomies
IL036118431207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology