Graduated: 2012
NPI: 1245593623
Practice Locations (5)
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
6104 OLD BRANCH AVE
TEMPLE HILLS, MD 207482518
3017026100
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
8008 WESTPARK DR
MC LEAN, VA 221023109
7032876400
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
1890 METRO CTR DR
RESTON, VA 201905286
7037091500
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
6551 LOISDALE CT
SPRINGFIELD, VA 221501828
7039221000
Source: CMS National Downloadable File, September 2026.