Medical school: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated: 2000
NPI: 1043263163
Practice Locations (4)
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
1221 MERCANTILE LN
LARGO, MD 207745374
3016185700
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
4920 CAMPBELL BLVD
NOTTINGHAM, MD 212365916
4109337600
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
1890 METRO CTR DR
RESTON, VA 201905286
7037091500
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
14139 POTOMAC MILLS RD
WOODBRIDGE, VA 221924644
7032573000
Source: CMS National Downloadable File, September 2026.