Medical school: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2015
NPI: 1538556220
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
10701 ROSEMARY DR
MANASSAS, VA 201097282
7032573000
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
6551 LOISDALE CT
SPRINGFIELD, VA 221501828
7039221000
Source: CMS National Downloadable File, September 2026.