Organization
CAPITAL AREA INTERNAL MEDICINE INC
Active
Other names
Capital Area Physician Weight and Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
SREE LAKSHMI GOGINENI MD (OWNER)
(703) 255-6010
Entity
Organization
Contact information
Practice address
2010 OPITZ BLVD STE A, WOODBRIDGE, VA 22191-3359
(703) 255-6010
(703) 255-6011
Mailing address
44121 LEESBURG PIKE STE 250, ASHBURN, VA 20147-5674
(703) 593-9341
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
Enumeration date
11/17/2021
Last updated
08/19/2024
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