Provider Demographics
NPI:1386858603
Name:YOUSIF, RAED HIKMET-HABIB (MD , MS)
Entity Type:Individual
Prefix:DR
First Name:RAED
Middle Name:HIKMET-HABIB
Last Name:YOUSIF
Suffix:
Gender:M
Credentials:MD , MS
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:512 WEST ABBEY MILL DRIVE SE
Mailing Address - Street 2:
Mailing Address - City:ADA
Mailing Address - State:MI
Mailing Address - Zip Code:49301
Mailing Address - Country:US
Mailing Address - Phone:248-719-5382
Mailing Address - Fax:
Practice Address - Street 1:4136 LEGACY PKWY
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48911-4265
Practice Address - Country:US
Practice Address - Phone:517-882-3732
Practice Address - Fax:517-882-3633
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43010783042084P0802X, 2084P0800X, 390200000X, 2084P0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0802XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Psychiatry
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1386858603Medicaid
MIOD16083153Medicare PIN