| NPI | 1316766181 |
|---|---|
| Doing Business As | LUMINIV WELLNESS |
| Entity Type | Organization |
| Authorized Contact | SREE GOGINENI President 703-593-9341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RB0002X Internal Medicine, Bariatric Medicine |
| Enumeration Date | 2024-10-08 |
| Last Update Date | 2025-06-24 |