| Avicenna Direct Care | |
|
5148 Hamilton Blvd Allentown PA 18106-9788 | |
| (610) 904-8100 | |
| (610) 638-0753 |
| Full Name | Avicenna Direct Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 5148 Hamilton Blvd, Allentown, Pennsylvania |
| Authorized Official Name and Position | Bilal Arshad Mannan (CEO) |
| Authorized Official Contact | 3476458517 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Avicenna Direct Care 5148 Hamilton Blvd Allentown PA 18106-9788 Ph: (610) 904-8100 | Avicenna Direct Care 5148 Hamilton Blvd Allentown PA 18106-9788 Ph: (610) 904-8100 |
| NPI Number | 1801499850 |
|---|---|
| Provider Enumeration Date | 11/20/2020 |
| Last Update Date | 06/28/2024 |
| Medicare PECOS PAC ID | 1153733944 |
|---|---|
| Medicare Enrollment ID | O20201221001035 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801499850 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| Provider Name | Hyasmine M Charles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922059526 PECOS PAC ID: 0941255251 Enrollment ID: I20050411000443 |
| Provider Name | Bilal A Mannan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205157674 PECOS PAC ID: 7113141581 Enrollment ID: I20140924001510 |
| Provider Name | Lubna W Malik |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891102356 PECOS PAC ID: 0042432940 Enrollment ID: I20141110000491 |
| Provider Name | James Snell |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1497144315 PECOS PAC ID: 9739466251 Enrollment ID: I20170510000294 |
| Provider Name | Asim A Rizvi |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1043521487 PECOS PAC ID: 9032469978 Enrollment ID: I20180913002572 |
| Provider Name | Sohaib Arshad Mannan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609365386 PECOS PAC ID: 0648671669 Enrollment ID: I20220830003638 |
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