Organization
TAJAMMUL EHSAN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAJAMMUL EHSAN MD (PRESIDENT)
(703) 787-7638
Entity
Organization
Contact information
Practice address
722 GRANT ST, STE. F, HERNDON, VA 20170-4532
(703) 787-7638
(703) 787-7654
Mailing address
722 GRANT ST, STE. F, HERNDON, VA 20170-4532
(703) 787-7638
(703) 787-7654
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
0101232388
VA
Other
Enumeration date
09/27/2006
Last updated
06/23/2008
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