| NPI | 1699528943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SREE LAKSHMI GOGINENI Owner/Authorized Official 703-255-6010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RB0002X Internal Medicine, Bariatric Medicine |
| 2083B0002X Preventive Medicine, Obesity Medicine | |
| Enumeration Date | 2024-04-08 |
| Last Update Date | 2024-08-19 |