IndividualActive
Ehsan Jazini, M.D
NPI 1568758951 · Orthopaedic Surgery of the Spine Physician · Reston, VA
Provider details
- NPI number
- 1568758951
- Entity type
- Individual
- Primary specialty
- Orthopaedic Surgery of the Spine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D
- Sex
- Male
- Sole proprietor
- No
- License
- 49233 (KY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
11800 Sunrise Valley Dr Ste 600
Reston, VA 20191
Phone: (703) 709-1114
Fax: (703) 709-1117
Approximate (ZIP-level) locationGet directions
Mailing address
11800 Sunrise Valley Dr Ste 600
Reston, VA 20191-5327
Registry dates
- Enumerated
- 2011-06-23
- Last updated
- 2022-03-02
- Certified
- 2022-03-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.