MEDICARE: DR. NIGAR YOUSUF M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	4301051791	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2606347471	OTHER	MI	BLUE CROSS BLUE SHEILD #
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336226919
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NIGAR YOUSUF M.D.

Provider Business Mailing Address
First Line	:	26105 ORCHARD LAKE RD
Second Line	:	STE#101
City	:	FARMINGTON HILLS
State	:	MI
Zip	:	48334-4576
Country	:	US
Telephone Number	:	248-888-8582
Fax Number	:	248-888-8583

Provider Business Practice Location Address
First Line	:	26105 ORCHARD LAKE RD
Second Line	:	STE#101
City	:	FARMINGTON HILLS
State	:	MI
Zip	:	48334-4576
Country	:	US
Telephone Number	:	248-888-8582
Fax Number	:	248-888-8583

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	07/09/2007

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Directions to “ DR. NIGAR YOUSUF M.D.” Practice Location

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