Organization · Type 2 NPI
Avicenna Medical Clinic, Inc.
Health Service Clinic/Center · Alexandria, VA
NPI number
1285749978
Active
Practice location
50 S Pickett Street, Suite # 221
Alexandria, VA 22304-2922
Fax (703) 751-2524
Mailing address
50 S Pickett St, Suite # 221
Alexandria, VA 22304-7207
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | 0101041949 (VA) |
Health Service Clinic/Center: Definition to come...
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About NPI 1285749978
Avicenna Medical Clinic, Inc.'s National Provider Identifier is 1285749978, issued on Aug 20, 2006. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Alexandria, VA. The record was last updated on Nov 3, 2010.