AVICENNA HEALTH & MEDICAL LLC – NPI #1083150239
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Health Care Provider Taxonomy Code for Internal Medicine

AVICENNA HEALTH & MEDICAL LLC is a provider located in RESTON, VA. NPPES has assigned the NPI number 1083150239 to AVICENNA HEALTH & MEDICAL LLC on January 11, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207R00000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine.

The NPI profile was previously updated about 7 years ago on Apr 15, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AVICENNA HEALTH & MEDICAL LLC below.

NPI Profile for
AVICENNA HEALTH & MEDICAL LLC

NPI Number
1083150239
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
AVICENNA HEALTH & MEDICAL LLC
Primary location
1860 TOWN CENTER DR STE 340
RESTON, VA 20190-5912
Phone: (703) 943-7475 Fax:
Mailing address
PO BOX 2695
RESTON, VA 20195-0695
Phone: (703) 943-7475 Fax:
Organization Subpart
No
Authorized Official
MALIKA MANYAM
PRESIDENT
Phone: (810) 341-3295
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207R00000X
- Internal Medicine (Primary)		 VA 0101251555

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.