Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Avicenna Health & Medical LLC

Organization Internal Medicine Physician · NPI 1083150239

Avicenna Health & Medical LLC is an Internal Medicine Physician in Reston, Virginia. Licensed in Virginia. Registered with an NPI since 2017.

Licensed in
VA
In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1860 Town Center Dr Ste 340
Reston, VA 20190-5912
Phone: (703) 943-7475
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 0101251555 (VA)

Record details

NPI number1083150239
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Malika Manyam — President · (810) 341-3295
NPI enumeratedJanuary 11, 2017
Last updated in NPPESApril 15, 2019
Mailing addressPo Box 2695, Reston, VA 20195-0695

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