Doctor Name: | DR. RAED HIKMET-HABIB YOUSIF |
NPI Number: | 1386858603 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD , MS |
License Number: | 25007 |
Business Practice Address: | 300 68th St Se Pine Rest Christian Mental Health Services Grand Rapids, MI - 495486927 |
Business Phone Number: | 2487195382 |
Business Fax Number: | |
Mailing Address: | 300 68th St Se, Po Box 165 GRAND RAPIDS |
State: | MI |
Postal Code: | 495486927 |
Phone Number: | 2487195382 |
Fax Number: | |
NPI Enumeration Date: | 05/09/2007 |
NPI Last Update Date: | 07/01/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 25007 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OK |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |