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NASRIN EJTEMAEE MD PC
NPI 1164676409
Family Medicine - Adult Medicine in Mc Lean, VA

Active since November 13, 2008CLIA 49D0971768 · Waiver
8375A GREENSBORO DR, MC LEAN, VA 22102(703) 893-8345(703) 356-2730 Get Directions Write a Review

NPPES record last updated: November 13, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nasrin Ejtemaee Md Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NASRIN EJTEMAEE MD PC (NPI 1164676409) is a healthcare organization registered as an adult medicine in Mc Lean, Virginia and active in the NPI registry since November 2008. The organization holds a CLIA Waiver certificate valid through March 20, 2028 and lists Nasrin Ejtemaee, President, as its authorized official.

NPPES Registry Identity

NPI1164676409
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameNASRIN EJTEMAEE MD PC
Location Address8375A GREENSBORO DRMc Lean, VA 22102-3529
Mailing Address8375a Greensboro DrMc Lean, VA 22102-3529 · (703) 893-8345 · Fax (703) 356-2730
Phone(703) 893-8345
Fax(703) 356-2730
Organization SubpartNo
Authorized OfficialNasrin EjtemaeePresident · (703) 893-8345
Enumeration DateNovember 13, 2008
✔ NPI 1164676409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
8375A GREENSBORO DR, Mc Lean, VA 22102
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D0971768

Nasrin Ejtemaee MD PC · Mclean, VA
Active · expires Mar 20, 2028
CLIA Number49D0971768
Laboratory TypePhysician Office
Certificate Effective DateMarch 21, 2026
Certificate Expiration DateMarch 20, 2028
Laboratory DirectorNasrin Ejtemaee
Laboratory Phone(703) 893-8345
Laboratory LocationNasrin Ejtemaee MD PC8375 Greensboro Drive -Suite A, Mclean, VA 22102
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nasrin Ejtemaee MD PC's NPI number?

The NPI number for Nasrin Ejtemaee MD PC is 1164676409. It was assigned to this organization in the NPPES registry on November 13, 2008.

Where is Nasrin Ejtemaee MD PC located?

Nasrin Ejtemaee MD PC is located at 8375A Greensboro Dr, Mc Lean, VA 22102. The listed phone number is (703) 893-8345.

What is Nasrin Ejtemaee MD PC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Does Nasrin Ejtemaee MD PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D0971768) is associated with this NPI, valid through March 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Nasrin Ejtemaee MD PC was last updated on November 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.