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NPI Code Detail

MEDICARE: LEILA M YOUSSEF M.D.

MEDICARE: LEILA M YOUSSEF 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
1207R00000XInternal Medicine Physician0101230490VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12156OTHERVAGROUP B/C #
2463705OTHERVAANTHEM
32115609OTHERVAMAMSI
43146513OTHERVAAETNA
50012OTHERVAB/C INDIVIDUAL #

General Provider Information

NPI Number : 1629071550
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEILA M YOUSSEF M.D.
Provider Business Mailing Address
First Line : 1600 N. BEAUREGARD ST, ST 300
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22311-1732
Country : US
Telephone Number : 703-717-4148
Fax Number : 703-717-4149
Provider Business Practice Location Address
First Line : 1600 N. BEAUREGARD ST, ST 300
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22311-1732
Country : US
Telephone Number : 703-717-4148
Fax Number : 703-717-4149
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 09/17/2014

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Directions to “ LEILA M YOUSSEF M.D.” Practice Location

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