Organization · NPI-2

Capital Area Internal Medicine, INC.

Internal Medicine · Vienna, VA

NPI number1316061369
StatusActive
Last updated in NPPESAug 19, 2024

Details

NPI
1316061369
Entity type
Organization (NPI-2)
Legal business name
Capital Area Internal Medicine, INC.
Organization subpart
No
Enumeration date
Mar 16, 2007
Certification date
Aug 19, 2024
Last updated
Aug 19, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine––Yes
207RB0002X Internal Medicine, Bariatric Medicine––
2083B0002X Preventive Medicine, Obesity Medicine––

Practice location

2235 Cedar Ln Ste 302
Vienna, VA 22182-5247

Phone 703-255-6010 · Fax 703-255-6011

Mailing address

44121 Leesburg Pike Ste 250
Ashburn, VA 20147-5674

Phone 703-255-6010 · Fax 703-255-6011

Authorized official

Sree Lakshmi Gogineni
President
7032556010

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