Graduated: 2008
NPI: 1487892899
Practice Locations (2)
MEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC
24035 THREE NOTCH RD
HOLLYWOOD, MD 206364871
3013737900
MEDSTAR MEDICAL GROUP II LLC
25500 POINT LOOKOUT RD
LEONARDTOWN, MD 206502015
2404344088
Source: CMS National Downloadable File, September 2026.