Healthcare Provider Details

I. General information

NPI: 1851358527
Provider Name (Legal Business Name): MANZAR YOUSUF RAJPUT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2006
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28580 ORCHARD LAKE RD STE 104
FARMINGTON HILLS MI
48334-2988
US

IV. Provider business mailing address

28580 ORCHARD LAKE RD STE 104
FARMINGTON HILLS MI
48334-2988
US

V. Phone/Fax

Practice location:
  • Phone: 248-865-7271
  • Fax: 248-865-7274
Mailing address:
  • Phone: 248-865-7271
  • Fax: 248-865-7274

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number4301073727
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: