Medical school: HOWARD UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1997
NPI: 1255344404
Practice Locations (2)
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
110 IRVING ST NW
WASHINGTON, DC 200103017
2028779875
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
14139 POTOMAC MILLS RD
WOODBRIDGE, VA 221924644
7032573000
Source: CMS National Downloadable File, September 2026.