Graduated: 2013
NPI: 1134462401
Practice Locations (3)
MEDSTAR MEDICAL GROUP II LLC
29955 THREE NOTCH RD, 100 MMG AT CHARLOTTE HALL
CHARLOTTE HALL, MD 206223159
3012905300
MEDSTAR MEDICAL GROUP II LLC
163 THOMAS JOHNSON DR
FREDERICK, MD 217024673
2028777685
MEDSTAR MEDICAL GROUP II LLC
400 W 7TH ST
FREDERICK, MD 217014506
2405663300
Source: CMS National Downloadable File, September 2026.