Graduated: 1991
NPI: 1053405860
Practice Locations (3)
MEDSTAR MEDICAL GROUP II LLC
1145 19TH ST NW, 311 MMG AT 19TH STREET NW
WASHINGTON, DC 200363735
2024292401
MEDSTAR MEDICAL GROUP II LLC
3333 N CALVERT ST
BALTIMORE, MD 212186502
MEDSTAR MEDICAL GROUP II LLC
1406 CRAIN S HWY 106
GLEN BURNIE, MD 210614086
4107686440
Source: CMS National Downloadable File, September 2026.