Provider Demographics
NPI:1942544770
Name:CAPITAL AREA INTERNAL MEDICINE INC
Entity Type:Organization
Organization Name:CAPITAL AREA INTERNAL MEDICINE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SREE
Authorized Official - Middle Name:LAKSHMI
Authorized Official - Last Name:GOGINENI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-593-9341
Mailing Address - Street 1:44121 LEESBURG PIKE STE 250
Mailing Address - Street 2:
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20147-5674
Mailing Address - Country:US
Mailing Address - Phone:703-255-6010
Mailing Address - Fax:703-255-6011
Practice Address - Street 1:44121 LEESBURG PIKE STE 250
Practice Address - Street 2:
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20147-5674
Practice Address - Country:US
Practice Address - Phone:703-255-6010
Practice Address - Fax:703-255-6011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-16
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty