Healthcare Provider Details

I. General information

NPI: 1447169420
Provider Name (Legal Business Name): LUXON CAPITAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23699 HEATHER MEWS DR
ASHBURN VA
20148-1812
US

IV. Provider business mailing address

23699 HEATHER MEWS DR
ASHBURN VA
20148-1812
US

V. Phone/Fax

Practice location:
  • Phone: 571-550-1828
  • Fax: 571-680-1267
Mailing address:
  • Phone: 571-550-1828
  • Fax: 571-680-1267

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: SRINIVAS R PONNALA
Title or Position: DIRECTOR
Credential: MS
Phone: 571-550-1828