Ehsan Ethan Kholdebarin, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

0101282285 Issued in VA

Practice address

1020 N Highland St Unit 808
Arlington, VA 22201-2185

Phone

(240) 997-4454

NPI assigned

Apr 23, 2010

Last updated

May 31, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780185600000",
    "number": "1649597105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 N HIGHLAND ST UNIT 808",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222012185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 N HIGHLAND ST UNIT 808",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222012185",
            "telephone_number": "240-997-4454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOLDEBARIN",
        "first_name": "EHSAN",
        "middle_name": "ETHAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-23",
        "last_updated": "2026-05-31",
        "certification_date": "2026-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "165904",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "0101282285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Kharnas, RN, BSN
• Samina Khawaja
• Sanam Kheirieh, D.D.S., M.S.
• Miraslava Khmurets, M.D.
• Razieh Khodabakhsh, DDS, MDS
• Pardis Khosravi
• Ossama Khozam
• Charanjit S Khurana, MD
• Brooke Kidane
• Maria Ximena Traa Kiely, MD MPH

• General Practice Physician in Arlington, VA
• Providers in Arlington, VA by specialty
• General Practice Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.