Individual
ELISHA NAVID YAGHMAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4723 E DOUGLAS AVE, WICHITA, KS 67218-1012
(800) 924-8140
(800) 924-8140
Mailing address
425 N BELMONT AVE, WICHITA, KS 67208-3810
(972) 561-0067
(800) 924-8140
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
046825
KS
207R00000X
Internal Medicine Physician
Primary
04-33447
KS
208000000X
Pediatrics Physician
04-33447
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201121110C
—
KS
Enumeration date
06/22/2007
Last updated
12/13/2016
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