Organization · NPI-2

Capital Area Internal Medicine INC

Internal Medicine · Ashburn, VA

NPI number1942544770

StatusActive

Last updated in NPPESAug 19, 2024

Details

NPI: 1942544770
Entity type: Organization (NPI-2)
Legal business name: Capital Area Internal Medicine INC
Organization subpart: No
Enumeration date: Nov 16, 2012
Certification date: Aug 19, 2024
Last updated: Aug 19, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207R00000X	Internal Medicine	–	–	Yes
207RB0002X	Internal Medicine, Bariatric Medicine	–	–
2083B0002X	Preventive Medicine, Obesity Medicine	–	–

Practice location

44121 Leesburg Pike Ste 250
Ashburn, VA 20147-5674

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
7035939341

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