NPI 1134788532
Etsubdenk Mezemir Ajebo, MD
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
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.