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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ETSUBDENK MEZEMIR AJEBO, MD

Active

ETSUBDENK MEZEMIR AJEBO, MD is a Dermatology healthcare provider located in FAIRFAX, Virginia. NPI 1134788532 is currently active in the NPPES registry. Verify at CMS.

Dermatology · FAIRFAX, VA

Registration Details

NPI Number
1134788532
Provider Type
Individual
Gender
Female
NPI Issued
Jun 10, 2019 (7.19754301898 yrs)
Last Updated
Feb 10, 2026
License
0101283681 (VA)

Practice Information

Address
4211 FAIRFAX CORNER AVE E STE 225
FAIRFAX, VA, 220308623
Browse VA providers · Browse ZIP 22030
Phone
7032782473
Fax
7032394857
Primary Specialty
Dermatology
207N00000X

Other Dermatology Providers in FAIRFAX, VA

Name Credential NPI
HARRY WILMER WYRE JR. M.D. 1821096090
DR. SURAJ S VENNA MD 1366433302
DR. KATHY DIEP NGOC TIEU M.D. 1811973951
DWANA RASHAD SHABAZZ M.D. 1548296817
ALEXANDRA KAZAKIS MD 1386736288
JACK MICHAEL COSTA M.D. 1144393935
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.