Medical school: GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1996
NPI: 1457400160
Practice Locations (4)
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
12255 FAIR LAKES PKWY
FAIRFAX, VA 220333952
7032374800
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
201 N WASHINGTON ST
FALLS CHURCH, VA 220464518
7032374000
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
10701 ROSEMARY DR
MANASSAS, VA 201097282
7032573000
Source: CMS National Downloadable File, September 2026.