MEDICARE: FERYAL MOUSAVI 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	390200000X	Student in an Organized Health Care Education/Training Program
2	207R00000X	Internal Medicine Physician	0101276230	VA

General Provider Information

NPI Number	:	1962964080
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FERYAL MOUSAVI MD

Provider Business Mailing Address
First Line	:	2121 I ST NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20052-0086
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2121 I ST NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20052-0086
Country	:	US
Telephone Number	:	202-701-4331
Fax Number	:

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

Provider Enumeration Date	:	04/05/2019
Last Update Date	:	05/30/2026

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Directions to “ FERYAL MOUSAVI MD” Practice Location

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