# CAPITAL AREA INTERNAL MEDICINE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699528943
- **Authorized official:** SREE LAKSHMI GOGINENI MD (OWNER/AUTHORIZED OFFICIAL)
- **Authorized official phone:** (703) 255-6010

## Contact information

- **Practice address:** 3581 OLD WASHINGTON RD \# C, WALDORF, MD 20602-3270
- **Practice address phone:** (703) 255-6010
- **Practice address fax:** (703) 255-6011
- **Mailing address:** 44121 LEESBURG PIKE STE 250, ASHBURN, VA 20147-5674
- **Mailing address phone:** (703) 255-6010
- **Mailing address fax:** (703) 255-6011

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 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
