Healthcare Provider Details

I. General information

NPI: 1912351990
Provider Name (Legal Business Name): ARAFAT YUSUF ALI D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: ARAFAT ALI DO

II. Dates (important events)

Enumeration Date: 04/16/2016
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4201 SAINT ANTOINE ST 9C-UHC
DETROIT MI
48201-2153
US

IV. Provider business mailing address

2825 OAK LAWN AVE UNIT 192749
DALLAS TX
75219-4688
US

V. Phone/Fax

Practice location:
  • Phone: 248-342-7284
  • Fax:
Mailing address:
  • Phone: 510-683-9500
  • Fax: 877-880-2039

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberC6025
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number5101026672
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code2085N0700X
TaxonomyNeuroradiology Physician
License Number5101026672
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: