Graduated: 2007
NPI: 1013370394
Practice Locations (2)
MEDSTAR MEDICAL GROUP II LLC
1145 19TH ST NW, 311 MMG AT 19TH STREET NW
WASHINGTON, DC 200363735
2024292401
MEDSTAR MEDICAL GROUP II LLC
7503 SURRATTS RD
CLINTON, MD 207353358
3018688000
Source: CMS National Downloadable File, September 2026.