Tajammul Ehsan MD PC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

0101232388 Issued in VA

Legal business name

TAJAMMUL EHSAN MD PC

Practice address

722 Grant St
Ste. F
Herndon, VA 20170-4532

Phone

(703) 787-7638

Fax

(703) 787-7654

NPI assigned

Sep 27, 2006

Organization subpart

No

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

Authorized official

Name

Tajammul Ehsan, MDNPI 1760583397

Title

President

Phone

(703) 787-7638

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3868/brand/1/csg/1/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tajammul Ehsan, MD

  • Neurology Physician
  • Herndon, VA
  • NPI 1760583397

  DC

  Medicare reassignment Authorized official
• Shabih U Hasan, MD

  • Specialist
  • Herndon, VA
  • NPI 1205908761
  NPD (past)

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1689765760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 GRANT ST",
            "address_2": "STE. F",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704532",
            "telephone_number": "703-787-7638",
            "fax_number": "703-787-7654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 GRANT ST",
            "address_2": "STE. F",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704532",
            "telephone_number": "703-787-7638",
            "fax_number": "703-787-7654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAJAMMUL EHSAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "EHSAN",
        "authorized_official_first_name": "TAJAMMUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-787-7638",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "0101232388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Flora B Tajalli, DDS
• Talk Time Tots
• Caroline M. Tan, M.D.
• Tracy Tartaglione, PA-C
• Monica N Taxali, O.D.
• Chantarat Techapanit, D.D.S.

• Neurology Physician in Herndon, VA
• Providers in Herndon, VA by specialty
• Neurology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.