Avicenna Health & Medical LLC
NPI 1083150239 · Internal Medicine Physician · Reston, VA
Avicenna Health & Medical LLC is a Internal Medicine Physician organization in Reston, VA (NPI 1083150239).
Provider details
- NPI number
- 1083150239
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Malika Manyam, President(810) 341-3295
- License
- 0101251555 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-01-11
- Last updated
- 2019-04-15
Frequently asked questions
- What is Avicenna Health & Medical LLC's NPI number?
- Avicenna Health & Medical LLC's National Provider Identifier (NPI) is 1083150239, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Avicenna Health & Medical LLC?
- Avicenna Health & Medical LLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Avicenna Health & Medical LLC located?
- Avicenna Health & Medical LLC's practice location on file with NPPES is 1860 Town Center Dr Ste 340, Reston, VA 20190-5912.
- What is Avicenna Health & Medical LLC's phone number?
- The practice phone number listed in the NPPES registry for Avicenna Health & Medical LLC is (703) 943-7475.
- Who is the authorized official for Avicenna Health & Medical LLC?
- The authorized official listed on Avicenna Health & Medical LLC's NPPES record is Malika Manyam, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Avicenna Health & Medical LLC's NPI active?
- Yes — Avicenna Health & Medical LLC's NPI (1083150239) is active in the NPPES registry as of the last update on 2019-04-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.