MEDICARE: DR. BIJAN YOUSSEFI MD

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	207W00000X	Ophthalmology Physician	0101031500	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	25318	OTHER	MAMSI MDIPA OC
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	9645	OTHER	CAREFIRST

General Provider Information

NPI Number	:	1780660902
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BIJAN YOUSSEFI MD

Provider Business Mailing Address
First Line	:	611 S CARLIN SPRINGS RD
Second Line	:	SUIT 402
City	:	ARLINGTON
State	:	VA
Zip	:	22204-1064
Country	:	US
Telephone Number	:	703-931-8877
Fax Number	:	703-931-0848

Provider Business Practice Location Address
First Line	:	611 S CARLIN SPRINGS RD
Second Line	:	SUITE 402
City	:	ARLINGTON
State	:	VA
Zip	:	22204-1064
Country	:	US
Telephone Number	:	703-931-8877
Fax Number	:	703-931-0848

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

Provider Enumeration Date	:	12/20/2005
Last Update Date	:	03/15/2026

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