| Capital Area Internal Medicine, Inc. | |
|
2235 Cedar Ln Ste 302 Vienna VA 22182-5247 | |
| (703) 255-6010 | |
| (703) 255-6011 |
| Full Name | Capital Area Internal Medicine, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2235 Cedar Ln Ste 302, Vienna, Virginia |
| Authorized Official Name and Position | Sree Lakshmi Gogineni (PRESIDENT) |
| Authorized Official Contact | 7032556010 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Capital Area Internal Medicine, Inc. 44121 Leesburg Pike Ste 250 Ashburn VA 20147-5674 Ph: (703) 255-6010 | Capital Area Internal Medicine, Inc. 2235 Cedar Ln Ste 302 Vienna VA 22182-5247 Ph: (703) 255-6010 |
| NPI Number | 1316061369 |
|---|---|
| Provider Enumeration Date | 03/16/2007 |
| Last Update Date | 11/27/2023 |
| Medicare PECOS PAC ID | 0749246858 |
|---|---|
| Medicare Enrollment ID | O20041209000403 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316061369 | NPI | - | NPPES |
| G01761 | Other | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Sree Lakshmi Gogineni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386603736 PECOS PAC ID: 9638135759 Enrollment ID: I20041213000318 |
| Provider Name | Padmavathi Murakonda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285906602 PECOS PAC ID: 1254588809 Enrollment ID: I20150914001117 |
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