# NASRIN EJTEMAEE MD PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164676409
- **Authorized official:** DR. NASRIN EJTEMAEE M.D. (PRESIDENT)
- **Authorized official phone:** (703) 893-8345

## Contact information

- **Practice address:** 8375A GREENSBORO DR, MC LEAN, VA 22102-3529
- **Practice address phone:** (703) 893-8345
- **Practice address fax:** (703) 356-2730
- **Mailing address:** 8375A GREENSBORO DR, MC LEAN, VA 22102-3529
- **Mailing address phone:** (703) 893-8345
- **Mailing address fax:** (703) 356-2730

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/13/2008
- **Last updated:** 11/13/2008