Provider Demographics
NPI:1851181440
Name:ALKHASHAB, YARA MOSTAFA (MD)
Entity type:Individual
Prefix:
First Name:YARA
Middle Name:MOSTAFA
Last Name:ALKHASHAB
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 1:35420 HIGHVIEW CT # 22303
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48335-2540
Mailing Address - Country:US
Mailing Address - Phone:313-300-6511
Mailing Address - Fax:
Practice Address - Street 1:6071 WEST OUTER DRIVE DETROIT MEDICAL CENTER SINAI GRAC
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48235
Practice Address - Country:US
Practice Address - Phone:313-966-3300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-08
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program