MEDICARE: SAMIR KHOURI, MD PC

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
1	207RP1001X	Pulmonary Disease Physician	0101226370	VA

General Provider Information

NPI Number	:	1992725717
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAMIR KHOURI, MD PC

Provider Business Mailing Address
First Line	:	305 MAPLE AVE W STE B
Second Line	:
City	:	VIENNA
State	:	VA
Zip	:	22180-4306
Country	:	US
Telephone Number	:	703-823-5400
Fax Number	:	703-998-4858

Provider Business Practice Location Address
First Line	:	305 MAPLE AVE W STE B
Second Line	:
City	:	VIENNA
State	:	VA
Zip	:	22180-4306
Country	:	US
Telephone Number	:	703-823-5400
Fax Number	:	703-998-4858

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SAMIR KHOURI
Credential	:	MD
Telephone Number	:	703-725-3878

Provider Enumeration Date	:	07/21/2006
Last Update Date	:	05/27/2025

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