Medical school: VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2006
NPI: 1164576633
Practice Locations (2)
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
1396 PICCARD DR
ROCKVILLE, MD 208504302
3015485700
Source: CMS National Downloadable File, September 2026.