Yara Abukhaled
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Chandler, AZ
NPI 1033913207 · NPPES record last updated Jun 17, 2026
Key facts
- NPI
- 1033913207
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 1955 W Frye Rd
Chandler, AZ 85224-6282 - Phone
- (480) 728-4961
- NPI assigned
- Apr 4, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250522000547 | TN | Order and Referring Only - Internal Medicine |
7012436173 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
1955 W Frye Rd
Chandler, AZ 85224-6282
Mailing address
1955 W Frye Rd
Chandler, AZ 85224-6282
Other providers in Chandler, AZ
- Sinahi Abreu-Hernandez
- Absolute Acquisitions LLC
- Absolute Family Dentistry
- Absolute Pain Relief LLC
- Absolutely Chiropractic LLC
- Abundant Health Medical PLLC
- Jose Abundes
- Ac Surgical
- Acacia Endodontics, PLLC
- Acacia Endondontic Partners LLC
All providers in Chandler, AZ · Student in an Organized Health Care Education/Training Program in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.