Individual
EHSAN ETHAN KHOLDEBARIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1020 N HIGHLAND ST UNIT 808, ARLINGTON, VA 22201-2185
(240) 997-4454
Mailing address
1020 N HIGHLAND ST UNIT 808, ARLINGTON, VA 22201-2185
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
165904
NC
208D00000X
General Practice Physician
Primary
0101282285
VA
Other
Enumeration date
04/23/2010
Last updated
05/31/2026
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