Individual
LEILA M YOUSSEF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1600 N. BEAUREGARD ST, ST 300, ALEXANDRIA, VA 22311-1732
(703) 717-4148
(703) 717-4149
Mailing address
1600 N. BEAUREGARD ST, ST 300, ALEXANDRIA, VA 22311-1732
(703) 717-4148
(703) 717-4149
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101230490
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0012
B/C INDIVIDUAL #
VA
01
—
2115609
MAMSI
VA
01
—
2156
GROUP B/C #
VA
01
—
3146513
AETNA
VA
01
—
463705
ANTHEM
VA
Enumeration date
05/24/2005
Last updated
09/17/2014
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