NASRIN EJTEMAEE MD PC NPI 1164676409

NPI Information

  • NPI: 1164676409
  • Provider Name: NASRIN EJTEMAEE MD PC
  • Classification: Family Medicine - 207QA0505X
  • Specialization: Adult Medicine
  • Entity Type: Organization
  • Address: 8375A GREENSBORO DR
    MC LEAN, VA
    ZIP 22102
  • Phone: (703) 893-8345

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NPI Details

NASRIN EJTEMAEE MD PC is an adult medicine family medicine in Mc Lean, VA. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. NASRIN EJTEMAEE MD PC NPI is 1164676409. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8375A GREENSBORO DR
MC LEAN, VA
ZIP 22102-529
Phone: (703) 893-8345
Fax: (703) 356-2730

The provider's authorized official is Nasrin Ejtemaee .
The authorized official title is President and has the following contact phone number (703) 893-8345.

The enumeration date for this NPI number is 11/13/2008 and was last updated on 11/13/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207QA0505XFamily MedicineAdult MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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