Avicenna Clinic

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

AVICENNA CLINIC

Practice address

5100 Leesburg Pike Ste 101
Alexandria, VA 22302-1000

Phone

(703) 705-9500

Fax

(703) 417-9051

NPI assigned

Oct 31, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ahmed Elebiary, MD

Title

Provider

Phone

(703) 705-9500

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1540944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540944000000",
    "number": "1013484799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 LEESBURG PIKE STE 101",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223021000",
            "telephone_number": "703-705-9500",
            "fax_number": "703-417-9051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 LEESBURG PIKE STE 101",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223021000",
            "telephone_number": "703-705-9500",
            "fax_number": "703-417-9051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3606 Forest Dr # 6",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223021005",
            "country_code": "US",
            "telephone_number": "703-705-9500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AVICENNA CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-31",
        "last_updated": "2018-10-31",
        "status": "A",
        "authorized_official_last_name": "ELEBIARY",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "703-705-9500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Vahan Avakian, DDS
• Avalo Health Care, LLC
• Avam Cancer & Blood Specialists, LLC
• Avenues ABA VA LLC
• Melinda Avery, DPT
• Avicenna Healthcare LLC
• Avicenna Medical Clinic, Inc.
• Gina Katherine Avila Cuellar
• Carol Avila, LMT
• Alexandra Avilov, DPT

• Internal Medicine Physician in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.