Avicenna Vascular Institute LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

AVICENNA VASCULAR INSTITUTE LLC

Practice address

4201 Medical Center Dr Ste 220
McKinney, TX 75069-1768

Phone

(214) 544-6050

Fax

(214) 544-6049

NPI assigned

Jun 6, 2014

Organization subpart

No

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

Authorized official

Name

Nadia A Khan

Title

Cfo

Phone

(214) 208-3518

Specialties & licenses 1

Addresses

Other names 1

• AVICENNA VASCULAR INSTITUTE Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Muhammad Akram Khan, MD, FACC, FSCAI

  • Cardiovascular Disease Physician
  • McKinney, TX
  • NPI 1356334031
  Medicare reassignment

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

{
    "created_epoch": "1402012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658966400000",
    "number": "1235542390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 MEDICAL CENTER DR",
            "address_2": "STE 220",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750691766",
            "telephone_number": "972-529-6939",
            "fax_number": "972-529-6935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 MEDICAL CENTER DR STE 220",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750691768",
            "telephone_number": "214-544-6050",
            "fax_number": "214-544-6049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVICENNA VASCULAR INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-06",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "NADIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "214-208-3518"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AVICENNA VASCULAR INSTITUTE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AVICENNA VASCULAR INSTITUTE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Seth Austin, D.C.
• Ava Healthcare LLC
• Laura Avalos, LVN
• Steven James Avers, D.O.
• Aviator Rehab Specialists LLC
• Irene Avina, LCSW
• Kelly Marie Ayala, LPC-S
• Oluwatoyin O Ayangade, REGISTERED NURSE
• Mary Kathleen Ayers, CCC-SLP
• Archana Kodandaraman Ayyar, MD

• Specialist in McKinney, TX
• Providers in McKinney, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.