Individual
NASRIN EJTEMAEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8375 GREENSBORO DR # A, MCLEAN, VA 22102-3529
(703) 893-8345
(703) 356-2730
Mailing address
8375 GREENSBORO DR # A, MCLEAN, VA 22102-3529
(703) 893-8345
(703) 356-2730
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101221367
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5642329
—
VA
Enumeration date
09/14/2006
Last updated
09/20/2011
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