Tajammul Ehsan, MD | |
722 Grant St, Ste. F, Herndon, VA 20170-4532 | |
(703) 787-7638 | |
(703) 787-7654 |
Full Name | Tajammul Ehsan |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Neurology |
Location | 722 Grant St, Herndon, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760583397 | NPI | - | NPPES |
7117787 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 0101232388 (Virginia) | Primary |
2084N0600X | Psychiatry & Neurology - Clinical Neurophysiology | 0101232388 (Virginia) | Secondary |
Entity Name | Tajammul Ehsan Md Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689765760 PECOS PAC ID: 2567625288 Enrollment ID: O20120524000048 |
Mailing Address | Practice Location Address |
---|---|
Tajammul Ehsan, MD 722 Grant St, Ste. F, Herndon, VA 20170-4532 Ph: (703) 787-7638 | Tajammul Ehsan, MD 722 Grant St, Ste. F, Herndon, VA 20170-4532 Ph: (703) 787-7638 |
Dr. Susan Perlmutter, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 106 Elden St Ste 17, Herndon, VA 20170 Phone: 703-481-5214 | |
Dr. Rhea Nishita Mehra, M.D Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 489 Carlisle Dr Ste A, Herndon, VA 20170 Phone: 703-774-3234 Fax: 703-880-8414 | |
Dr. Adefolake Ayotunde Atewologun, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 131 Elden St, Herndon, VA 20170 Phone: 646-425-3300 | |
Churchill G Dunn Ii, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 131 Elden St #150, Herndon, VA 20170 Phone: 703-402-4941 Fax: 703-430-9293 | |
Gaurav Jain, DO Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 13028 Monroe Manor Dr, Herndon, VA 20171 Phone: 703-899-5644 | |
Dr. Stephanie Ellen Waggel, MD, MS Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2201 Cooperative Way Ste 600, Herndon, VA 20171 Phone: 646-776-0739 Fax: 703-788-6867 | |
Dr. Caroline M. Tan, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 297 Herndon Pkwy, Suite 202, Herndon, VA 20170 Phone: 571-323-3300 Fax: 571-323-3300 |