Medical school: NEW YORK MEDICAL COLLEGE
Graduated: 2019
NPI: 1235690058
Practice Locations (2)
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
815 E PRATT ST, BHMC
BALTIMORE, MD 212024402
4106375700
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
13285 MINNIEVILLE RD
WOODBRIDGE, VA 221924018
7039862400
Source: CMS National Downloadable File, September 2026.