Graduated: 2002
Also: INTERNAL MEDICINE
NPI: 1255683181
Practice Locations (3)
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
7190 CRESTWOOD BLVD
FREDERICK, MD 217037314
2405291700
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
1396 PICCARD DR
ROCKVILLE, MD 208504302
3015485700
Source: CMS National Downloadable File, September 2026.