Medical school: EASTERN VIRGINIA MEDICAL SCHOOL
Graduated: 2022
NPI: 1407517303
Practice Locations (2)
FAIRFAX RADIOLOGICAL CONSULTANTS
3300 GALLOWS RD
FALLS CHURCH, VA 220423307
7037764001
FAIRFAX RADIOLOGICAL CONSULTANTS
44045 RIVDERSIDE PKWY
LEESBURG, VA 201765101
7038586470
Source: CMS National Downloadable File, September 2026.