Graduated: 2022
NPI: 1396441523
Practice Locations (2)
MEDSTAR MEDICAL GROUP II LLC
29955 THREE NOTCH RD, 100 MMG AT CHARLOTTE HALL
CHARLOTTE HALL, MD 206223159
3012905300
MEDSTAR MEDICAL GROUP II LLC
41680 MISS BESSIE DR
LEONARDTOWN, MD 206502906
3019970055
Source: CMS National Downloadable File, September 2026.