Medical school: UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Graduated: 1998
NPI: 1114981206
Practice Locations (4)
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
1701 TWIN SPRINGS RD
HALETHORPE, MD 212273553
4107375000
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
5100 AUTH WAY
SUITLAND, MD 207464207
3017025000
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
13285 MINNIEVILLE RD
WOODBRIDGE, VA 221924018
7039862400
Source: CMS National Downloadable File, September 2026.