| Nasrin Ejtemaee Md Pc | |
|
8375a Greensboro Dr Mc Lean VA 22102-3529 | |
| (703) 893-8345 | |
| (703) 356-2730 |
| Full Name | Nasrin Ejtemaee Md Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 8375a Greensboro Dr, Mc Lean, Virginia |
| Authorized Official Name and Position | Nasrin Ejtemaee (PRESIDENT) |
| Authorized Official Contact | 7038938345 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nasrin Ejtemaee Md Pc 8375a Greensboro Dr Mc Lean VA 22102-3529 Ph: (703) 893-8345 | Nasrin Ejtemaee Md Pc 8375a Greensboro Dr Mc Lean VA 22102-3529 Ph: (703) 893-8345 |
| NPI Number | 1164676409 |
|---|---|
| Provider Enumeration Date | 11/13/2008 |
| Last Update Date | 11/13/2008 |
| Medicare PECOS PAC ID | 1355515032 |
|---|---|
| Medicare Enrollment ID | O20111115000021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164676409 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
| Provider Name | Nasrin Ejtemaee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497850077 PECOS PAC ID: 2264606946 Enrollment ID: I20111115000243 |
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