Organization · NPI-2

Capital Area Physician Weight & Wellness Center, INC

Internal Medicine, Bariatric Medicine · Vienna, VA

NPI number1316766181
StatusActive
Last updated in NPPESJun 24, 2025

Details

NPI
1316766181
Entity type
Organization (NPI-2)
Legal business name
Capital Area Physician Weight & Wellness Center, INC
Organization subpart
No
Enumeration date
Oct 8, 2024
Certification date
Jun 20, 2025
Last updated
Jun 24, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RB0002X Internal Medicine, Bariatric Medicine––Yes

Other names

  • Luminiv Wellness (Doing Business As)

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 Gogineni
President
7035939341

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