Medical school: VIRGINIA TECH CARILION SCHOOL OF MEDICINE
Graduated: 2024
NPI: 1669000113
Practice Locations (2)
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
1396 PICCARD DR
ROCKVILLE, MD 208504302
3015485700
Source: CMS National Downloadable File, September 2026.