Nastaran Ejtemai in Fairfax - General Practice

Nastaran Ejtemai - NPI 1780724443

Nastaran Ejtemai is a General Practice in Fairfax, Virginia. Nastaran Ejtemai practices all healthcare services and medical treatments related to General Practice. The NPI Number for Nastaran Ejtemai is 1780724443. The last update date is 2007-07-08.

Nastaran Ejtemai's current location address is 9671 A Main Street, Fairfax, Virginia. You can contact this provider via phone number 7033230700 and fax number 7033238343. The mailing address for Nastaran Ejtemai is 9671 A Main Street, Fairfax, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Nastaran Ejtemai
Address 9671 A Main Street, Fairfax, Virginia
Phone Number 7033230700
Fax Number 7033238343
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1780724443
Provider Enumeration Date 2007-02-08
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 9671 A Main Street
City Fairfax
State Virginia (VA)
Post Code 22031
Phone Number 7033230700
Fax Number 7033238343

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 401007839
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
401009839 VA COMMONWEALTH OF VA

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FAQs about Nastaran Ejtemai

What is the Nastaran Ejtemai's 1780724443?

The Nastaran Ejtemai's NPI (National Provider Identifier) Number is 1780724443. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Nastaran Ejtemai?

The Nastaran Ejtemai is physically situated at 9671 A Main Street, in the city of Fairfax, state of VA, with the postal code 22031.

What is Nastaran Ejtemai's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Nastaran Ejtemai is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.

On what date was the 1780724443 assigned to Nastaran Ejtemai?

The Nastaran Ejtemai was issued its 1780724443 on 2007-02-08, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Nastaran Ejtemai most recently updated or revised?

The information pertaining to Nastaran Ejtemai, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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