Provider Demographics
NPI:1487608196
Name:YOUSUFI, SAMINA M (MD)
Entity type:Individual
Prefix:MRS
First Name:SAMINA
Middle Name:M
Last Name:YOUSUFI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:610 PROFESSIONAL DRIVE
Mailing Address - Street 2:SUITE 255
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20879
Mailing Address - Country:US
Mailing Address - Phone:240-683-6202
Mailing Address - Fax:240-683-6203
Practice Address - Street 1:1395 PICCARD DR STE 320
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-4349
Practice Address - Country:US
Practice Address - Phone:240-683-6202
Practice Address - Fax:240-683-6203
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-19
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DCMD0348712084P0800X
MDD00627502084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010176972Medicaid
DC036815600Medicaid
MD408007600Medicaid
DC036815600Medicaid
DCI31142Medicare UPIN
VA010176972Medicaid