Graduated: 2012
NPI: 1639438104
Practice Locations (2)
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
2301 M ST NW
WASHINGTON, DC 200371427
2024196200
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
7070 SAMUEL MORSE DR
COLUMBIA, MD 210463424
4103094600
Source: CMS National Downloadable File, September 2026.