Avicenna Medical Clinic, Inc.

LBN: Avicenna Medical Clinic, Inc.
Avicenna Medical Clinic, Inc. is an health care organization with primary practice located at 50 S Pickett Street Suite # 221, Alexandria VA 22304-2922. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. Avicenna Medical Clinic, Inc. can be contacted via phone (703) 751-7331, or through Ahmadi, Satar via phone (703) 751-7331.

Contact Information

Primary practice address
50 S Pickett Street Suite # 221 Alexandria VA 22304-2922
Phone: (703) 751-7331
Fax: (703) 751-2524
Website:
Map and Directions
Authorized official contact:
Name: Ahmadi, Satar M.D., M.P.H.
Phone: (703) 751-7331

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X 0101041949 Virginia

Profile Details

NPI number 1285749978
LBN Legal business name Avicenna Medical Clinic, Inc.
DBA Doing business as
Authorized official Ahmadi, Satar M.D., M.P.H.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 20th, 2006
Last updated Nov 3rd, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285749978 NPPES
Virginia MEDICAID 005623626

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