Medical school: UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Graduated: 1990
NPI: 1124186028
Practice Locations (3)
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
7070 SAMUEL MORSE DR
COLUMBIA, MD 210463424
4103094600
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
7670 QUARTERFIELD RD
GLEN BURNIE, MD 210613947
4105087650
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.