Organization
CAPITAL AREA INTERNAL MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SREE LAKSHMI GOGINENI M.D. (PRESIDENT)
(703) 255-6010
Entity
Organization
Contact information
Practice address
2235 CEDAR LN STE 302, VIENNA, VA 22182-5247
(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
—
—
207RB0002X
Obesity Medicine (Internal Medicine) Physician
—
—
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G01761
MEDICARE RAILROAD
—
Enumeration date
03/16/2007
Last updated
08/19/2024
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