Medical school: HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1994
NPI: 1235192568
Practice Locations (2)
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
10810 CONNECTICUT AVE
KENSINGTON, MD 208952138
3019297100
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
1221 MERCANTILE LN
LARGO, MD 207745374
3016185700
Source: CMS National Downloadable File, September 2026.