Graduated: 2007
NPI: 1417149337
Practice Locations (2)
MED-PED HEALTH CARE LLC
4701 MELBOURNE PL
COLLEGE PARK, MD 207402540
3013454400
EXPRESS HEALTHCARE, LLC
4701 MELBOURNE PL
COLLEGE PARK, MD 207402540
3013454400
Source: CMS National Downloadable File, September 2026.