Graduated: 2023
NPI: 1013499862
Practice Locations (2)
MEDSTAR MEDICAL GROUP II LLC
110 IRVING ST NW
WASHINGTON, DC 200103017
2028777000
OAK GROVE PHYSICIAN SERVICES PA
160 NW 170 ST
NORTH MIAMI BEACH, FL 331695521
3056511100
Source: CMS National Downloadable File, September 2026.