Medical school: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated: 2002
NPI: 1578608352
Practice Locations (2)
MEDSTAR MEDICAL GROUP II LLC
1133 21ST ST NW, MEDSTAR AT LAFAYETTE CENTRE
WASHINGTON, DC 200363390
2024162000
MEDSTAR MEDICAL GROUP II LLC
2118 GREENSPRING DR
TIMONIUM, MD 210933112
4105603480
Source: CMS National Downloadable File, September 2026.