Provider Demographics
NPI:1992124457
Name:ZHUBI, YLLI (MD)
Entity type:Individual
Prefix:DR
First Name:YLLI
Middle Name:
Last Name:ZHUBI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18699 N 67TH AVE STE 280
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-7149
Mailing Address - Country:US
Mailing Address - Phone:602-995-0822
Mailing Address - Fax:602-995-0825
Practice Address - Street 1:18699 N 67TH AVE STE 280
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-7149
Practice Address - Country:US
Practice Address - Phone:602-995-0822
Practice Address - Fax:602-995-0825
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-14
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ61700208C00000X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal SurgeryGroup - Single Specialty
No208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty