Medical school: HOWARD UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1985
NPI: 1023459617
Practice Locations (2)
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
2301 M ST NW
WASHINGTON, DC 200371427
2024196200
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
1221 MERCANTILE LN
LARGO, MD 207745374
3016185700
Source: CMS National Downloadable File, September 2026.