Graduated: 1982
NPI: 1124047568
Practice Locations (2)
PRIVIA MEDICAL GROUP, LLC
9470 ANNAPOLIS RD, SUITE 309
LANHAM, MD 207063022
2028321800
PRIVIA MEDICAL GROUP, LLC
7609 RICHMOND HWY, SUITE B
ALEXANDRIA, VA 223062847
7033489111
Source: CMS National Downloadable File, September 2026.