Provider Demographics
NPI:1053000398
Name:AFTAB, YUSUF
Entity type:Individual
Prefix:
First Name:YUSUF
Middle Name:
Last Name:AFTAB
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 1:3526 N CENTURY OAK CIR
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48363-2647
Mailing Address - Country:US
Mailing Address - Phone:248-410-7978
Mailing Address - Fax:
Practice Address - Street 1:5018 CLIO RD
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48504-1809
Practice Address - Country:US
Practice Address - Phone:810-787-2232
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-03
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302415111183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist