Dermatology
ETSUBDENK AJEBO MD
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1134788532 · enumerated 2019-06-10 · record updated 2026-02-10. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 4211 FAIRFAX CORNER AVE E STE 225, FAIRFAX, VA, 22030-8623 (703) 278-2473 Fax (703) 239-4857 Google Maps Apple Maps OpenStreetMap
- Mailing address 4211 FAIRFAX CORNER AVE E STE 225, FAIRFAX, VA, 22030-8623 (703) 278-2473 Fax (703) 239-4857 Google Maps Apple Maps OpenStreetMap
Specialties
- Dermatology 207N00000X · Primary · License 0101283681 VA
In this directory
Locations and evidence
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Practice location
FAIRFAX, VA, 220308623
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.