AVICENNA HEALTH & MEDICAL LLC

RESTON, VA
NPI1083150239
Entity TypeOrganization
Authorized ContactMALIKA MANYAM
President
810-341-3295
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: VA  0101251555)
Enumeration Date2017-01-11
Last Update Date2019-04-15
Business Address
AVICENNA HEALTH & MEDICAL LLC
1860 TOWN CENTER DR STE 340
RESTON, VA 20190-5912
Phone number: 703-943-7475
Mailing Address
AVICENNA HEALTH & MEDICAL LLC
PO BOX 2695
RESTON, VA 20195-0695
Phone number: 703-943-7475
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