Provider Demographics
NPI:1417042698
Name:YOUSIF, RAFID H (MD)
Entity type:Individual
Prefix:DR
First Name:RAFID
Middle Name:H
Last Name:YOUSIF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2175 COOLIDGE RD
Mailing Address - Street 2:
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48823-1379
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1625 RAMBLEWOOD DR
Practice Address - Street 2:
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823-6367
Practice Address - Country:US
Practice Address - Phone:517-324-3700
Practice Address - Fax:517-324-4589
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301066253208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
200000001079OtherPHYSICIAN HEALTH PLAN
P00067906OtherRAILROAD MEDICARE
340C376010OtherBLUE CROSS BLUE SHIELD
1000639OtherMCLAREN
MI104310530Medicaid
DR330116OtherMCARE
340C376010OtherBLUE CROSS BLUE SHIELD
MI0C37601008Medicare ID - Type Unspecified