Avicenna Medical Clinic, Inc.
NPI #1285749978 in Alexandria, Virginia
Provider Information
- NPI Number
- 1285749978
- Entity Type
- Organization
- Organization Name
- Avicenna Medical Clinic, Inc.
- Primary Specialty
- Clinic/Center - Health Service
- Enumeration Date
- Aug 20, 2006
- Last Updated
- Nov 3, 2010
Practice Location
- Address
- 50 S PICKETT STREET
- Address 2
- SUITE # 221
- City
- Alexandria
- State
- Virginia
- ZIP Code
- 22304-2922
- Phone
- (703) 751-7331
Authorized Official
- Name
- SATAR AHMADI, M.D., M.P.H.
- Title
- PRINCIPAL
- Phone
- (703) 751-7331
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Health Service — Health Service |
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