Graduated: 1996
NPI: 1205050457
Practice Locations (2)
MEDSTAR MEDICAL GROUP II LLC
1133 21ST ST NW, MEDSTAR AT LAFAYETTE CENTRE
WASHINGTON, DC 200363390
2024162000
MEDSTAR MEDICAL GROUP II LLC
1145 19TH ST NW, 311 MMG AT 19TH STREET NW
WASHINGTON, DC 200363735
2024292401
Source: CMS National Downloadable File, September 2026.