Provider Demographics
NPI:1548615875
Name:ELEBRASHI, YEHIA MOHAMED (DPM)
Entity Type:Individual
Prefix:DR
First Name:YEHIA
Middle Name:MOHAMED
Last Name:ELEBRASHI
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:26900 N LAKE PLEASANT PKWY STE 202
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85383-1558
Mailing Address - Country:US
Mailing Address - Phone:623-254-7111
Mailing Address - Fax:623-254-7100
Practice Address - Street 1:26900 N LAKE PLEASANT PKWY STE 202
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85383-1558
Practice Address - Country:US
Practice Address - Phone:623-254-7111
Practice Address - Fax:623-254-7100
Is Sole Proprietor?:No
Enumeration Date:2016-04-23
Last Update Date:2023-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZPOD-000934213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery