Graduated: 2022
NPI: 1669184370
Practice Locations (2)
PRIVIA MEDICAL GROUP, LLC
133 DEFENSE HWY
ANNAPOLIS, MD 214017015
UNIVERSITY OF MARYLAND MEDICAL REGIONAL PROFESSIONAL SERVICES, LLC
8322 BELLONA AVE, SUITE 100
TOWSON, MD 212042065
4103378847
Source: CMS National Downloadable File, September 2026.