Provider Demographics
NPI:1225878341
Name:YOUSIF, RANIA ALI
Entity type:Individual
Prefix:
First Name:RANIA
Middle Name:ALI
Last Name:YOUSIF
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5037 MARSHALL CROWN RD
Mailing Address - Street 2:
Mailing Address - City:CENTREVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20120-6432
Mailing Address - Country:US
Mailing Address - Phone:202-270-6152
Mailing Address - Fax:
Practice Address - Street 1:5037 MARSHALL CROWN RD
Practice Address - Street 2:
Practice Address - City:CENTREVILLE
Practice Address - State:VA
Practice Address - Zip Code:20120-6432
Practice Address - Country:US
Practice Address - Phone:202-270-6152
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-28
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAA66018393171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor