Whalio Doctors

NPI 1134788532

Etsubdenk Mezemir Ajebo, MD

Practitioner Dermatology Physician Fairfax, VA

Practice location

Address
4211 Fairfax Corner Ave E STE 225, Fairfax, VA 22030-8623
Phone
(703) 278-2473
Fax
(703) 239-4857

Registered specialties

Dermatology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 0101283681 (VA)

Registry record

NPI
1134788532
Entity type
Individual
Sex (as registered)
Female
NPI issued
10 Jun 2019
Record last updated
10 Feb 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.