MEDICARE: DR. CAROL BEZIRGANIAN PEREZ 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
1	2084P0800X	Psychiatry Physician	0101049617	VA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	018375I65	OTHER	DC	MEDICARE NUMBER

General Provider Information

NPI Number	:	1629044813
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CAROL BEZIRGANIAN PEREZ M.D.

Provider Business Mailing Address
First Line	:	3025 HAMAKER CT STE 290
Second Line	:
City	:	FAIRFAX
State	:	VA
Zip	:	22031-2237
Country	:	US
Telephone Number	:	703-969-0781
Fax Number	:	703-573-5429

Provider Business Practice Location Address
First Line	:	8550 ARLINGTON BLVD
Second Line	:	SUITE 300
City	:	FAIRFAX
State	:	VA
Zip	:	22031-4634
Country	:	US
Telephone Number	:	703-969-0781
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/27/2006
Last Update Date	:	06/27/2020

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