Provider Demographics
NPI:1205631298
Name:RASUL, YOUSUF
Entity type:Individual
Prefix:
First Name:YOUSUF
Middle Name:
Last Name:RASUL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41399 LLORAC LN
Mailing Address - Street 2:
Mailing Address - City:NORTHVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48167-9081
Mailing Address - Country:US
Mailing Address - Phone:734-386-6503
Mailing Address - Fax:
Practice Address - Street 1:31535 8 MILE RD
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48152-1359
Practice Address - Country:US
Practice Address - Phone:734-386-6503
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-14
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies