Graduated: 1991
NPI: 1619081361
Practice Locations (2)
PRIVIA CARE CENTER LLC
4910 MASSACHUSETTS AVE NW, SUITE 114 GRADY DC OFFICE
WASHINGTON, DC 200164384
2026860813
PRIVIA CARE CENTER LLC
10801 LOCKWOOD DR, SUITE 160
SILVER SPRING, MD 209011586
3012981040
Source: CMS National Downloadable File, September 2026.