| NPI | 1528617222 |
|---|---|
| Doing Business As | AVICENNA HEALTH |
| Entity Type | Organization |
| Authorized Contact | AHMAD KAAKO Founder 479-926-9426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2020-11-12 |