Graduated: 1998
NPI: 1225036296
Practice Locations (2)
MEDSTAR MEDICAL GROUP II LLC
3800 RESERVOIR RD NW
WASHINGTON, DC 200072113
2024442000
MGMC LLC
4200 WISCONSIN AVE NW
WASHINGTON, DC 200162143
2024448531
Source: CMS National Downloadable File, September 2026.