Internal Medicine
AVICENNA HEALTH & MEDICAL LLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1083150239 · enumerated 2017-01-11 · record updated 2019-04-15. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: MALIKA MANYAM M.D, President · (810) 341-3295
Addresses and phones
- Mailing address PO BOX 2695, RESTON, VA, 20195-0695 (703) 943-7475 Google Maps Apple Maps OpenStreetMap
- Practice location 1860 TOWN CENTER DR STE 340, RESTON, VA, 20190-5912 (703) 943-7475 Google Maps Apple Maps OpenStreetMap
Specialties
- Internal Medicine 207R00000X · Primary · License 0101251555 VA
In this directory
Locations and evidence
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Practice location
RESTON, VA, 201905912
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.