Provider Demographics
NPI:1760688592
Name:YUCEBAY, ELIF (MD)
Entity Type:Individual
Prefix:DR
First Name:ELIF
Middle Name:
Last Name:YUCEBAY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2414 JOHN R RD
Mailing Address - Street 2:APT 202
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48083-2581
Mailing Address - Country:US
Mailing Address - Phone:630-362-2266
Mailing Address - Fax:
Practice Address - Street 1:2799 W GRAND BLVD
Practice Address - Street 2:HENRY FORD HOSPITAL
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48202-2608
Practice Address - Country:US
Practice Address - Phone:313-916-2600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-27
Last Update Date:2012-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301089911207P00000X
IL036-125363207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine