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AVICENNA HEALTH & MEDICAL LLC
NPI 1083150239
Internal Medicine in Reston, VA

Active since January 11, 2017
1860 TOWN CENTER DR STE 340, RESTON, VA 20190(703) 943-7475 Get Directions Write a Review

NPPES record last updated: April 15, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 15, 2019, Jan 11, 2017 (2 updates tracked since 2017).

About Avicenna Health & Medical Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AVICENNA HEALTH & MEDICAL LLC (NPI 1083150239) is a healthcare organization registered as an internal medicine in Reston, Virginia and active in the NPI registry since January 2017. The organization lists Malika Manyam, President, as its authorized official.

NPPES Registry Identity

NPI1083150239
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameAVICENNA HEALTH & MEDICAL LLC
Location Address1860 TOWN CENTER DR STE 340Reston, VA 20190-5912
Mailing AddressPo Box 2695Reston, VA 20195-0695 · (703) 943-7475
Phone(703) 943-7475
Organization SubpartNo
Authorized OfficialMalika ManyamPresident · (810) 341-3295
Enumeration DateJanuary 11, 2017
Last NPPES UpdateApril 15, 20192 updates tracked since enumeration
✔ NPI 1083150239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in VA · 0101251555
Definition
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.
1860 TOWN CENTER DR STE 340, Reston, VA 20190
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MALIKA MANYAM M.D.
Internal Medicine
1860 TOWN CENTER DR STE 340
RESTON, VA 20190
Fairfax County (703) 943-7475
DIVYA ANGRA
Dermatology
1860 TOWN CENTER DR STE 340
RESTON, VA 20190
Fairfax County (301) 244-9069
FAMILY HEALTHCARE CORP
Clinic/Center (Primary Care)
1860 TOWN CENTER DR STE 340
RESTON, VA 20190
Fairfax County (703) 443-9326
NOVA PRIMARY CARE LLC
Family Medicine
1860 TOWN CENTER DR STE 340
RESTON, VA 20190
Fairfax County (571) 223-3833

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Avicenna Health & Medical LLC's NPI number?

The NPI number for Avicenna Health & Medical LLC is 1083150239. It was assigned to this organization in the NPPES registry on January 11, 2017.

Where is Avicenna Health & Medical LLC located?

Avicenna Health & Medical LLC is located at 1860 Town Center Dr Ste 340, Reston, VA 20190. The listed phone number is (703) 943-7475.

What is Avicenna Health & Medical LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Avicenna Health & Medical LLC was last updated on April 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.