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Organization
CAPITAL AREA INTERNAL MEDICINE INC
Active
Organization
CAPITAL AREA INTERNAL MEDICINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SREE LAKSHMI GOGINENI MD (OWNER/AUTHORIZED OFFICIAL)
(703) 255-6010
Entity
Organization
Contact information
Practice address
3581 OLD WASHINGTON RD # C, WALDORF, MD 20602-3270
(703) 255-6010
(703) 255-6011
Mailing address
44121 LEESBURG PIKE STE 250, ASHBURN, VA 20147-5674
(703) 255-6010
(703) 255-6011
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
207RB0002X
Obesity Medicine (Internal Medicine) Physician
—
NULL
207RB0002X
Obesity Medicine (Internal Medicine) Physician
—
—
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
—
NULL
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
—
—
Other
Enumeration date
04/08/2024
Last updated
08/19/2024
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