Ehsan, Tajammul

Ehsan, Tajammul is an individual health care provider with primary practice located at 722 Grant St Ste. F, Herndon VA 20170-4532. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Clinical Neurophysiology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Ehsan, Tajammul can be contacted via phone (703) 787-7638.

Contact Information

Primary practice address
722 Grant St Ste. F Herndon VA 20170-4532
Phone: (703) 787-7638
Fax: (703) 787-7654
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 0101232388 Virginia
Allopathic & Osteopathic Physicians / Clinical Neurophysiology 2084N0600X 0101232388 Virginia

Profile Details

NPI number 1760583397
LBN Legal business name Ehsan, Tajammul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Jun 23rd, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760583397 NPPES
Virginia MEDICAID 7117787

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