Provider Demographics
NPI:1609751072
Name:VITALITY ADVANCED MOBILE HEALTHCARE PLLC
Entity type:Organization
Organization Name:VITALITY ADVANCED MOBILE HEALTHCARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:YEHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ELEBRASHI
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:623-254-7111
Mailing Address - Street 1:4539 N 22ND ST STE N
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-4639
Mailing Address - Country:US
Mailing Address - Phone:623-254-7111
Mailing Address - Fax:623-254-7100
Practice Address - Street 1:4539 N 22ND ST STE N
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016-4639
Practice Address - Country:US
Practice Address - Phone:623-254-7111
Practice Address - Fax:623-254-7100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-06
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist