| Avicenna Health & Medical Llc | |
|
1860 Town Center Dr Ste 340 Reston VA 20190-5912 | |
| (703) 943-7475 | |
| Not Available |
| Full Name | Avicenna Health & Medical Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1860 Town Center Dr Ste 340, Reston, Virginia |
| Authorized Official Name and Position | Malika Manyam (PRESIDENT) |
| Authorized Official Contact | 8103413295 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avicenna Health & Medical Llc Po Box 2695 Reston VA 20195-0695 Ph: (703) 943-7475 | Avicenna Health & Medical Llc 1860 Town Center Dr Ste 340 Reston VA 20190-5912 Ph: (703) 943-7475 |
| NPI Number | 1083150239 |
|---|---|
| Provider Enumeration Date | 01/11/2017 |
| Last Update Date | 04/15/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083150239 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0101251555 (Virginia) | Primary |
Vijay K. Chadha, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1800 Town Center Dr Suite 214, Reston, VA 20190 Phone: 703-478-0325 Fax: 703-478-2702 | |
Tlc Laser Eye Centers Reston Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10790 Parkridge Blvd, Ste. 105, Reston, VA 20191 Phone: 703-860-2000 | |
Orthovirginia, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1850 Town Center Parkway, Suite 400, Reston, VA 20190 Phone: 703-810-5202 | |
Dominion Family Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1830 Town Center Dr, Ste 303, Reston, VA 20190 Phone: 703-435-0700 Fax: 703-435-0660 | |
Janet Avery Md Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1860 Town Center Dr, Suite 310, Reston, VA 20190 Phone: 703-481-5907 Fax: 703-435-0660 | |
Keya Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1801 Robert Fulton Dr Ste 480, Reston, VA 20191 Phone: 703-261-7000 Fax: 708-860-1040 |