Avicenna Clinic

NPI #1013484799 in Alexandria, Virginia

Provider Information

NPI Number: 1013484799
Entity Type: Organization
Organization Name: Avicenna Clinic
Primary Specialty: Internal Medicine
Enumeration Date: Oct 31, 2018
Last Updated: Oct 31, 2018

Practice Location

Address: 5100 LEESBURG PIKE STE 101
City: Alexandria
State: Virginia
ZIP Code: 22302-1000
Phone: (703) 705-9500

Authorized Official

Name: AHMED ELEBIARY, MD
Title: PROVIDER
Phone: (703) 705-9500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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