Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated: 1985
NPI: 1669470985
Practice Locations (2)
MEDSTAR MEDICAL GROUP II LLC
3800 RESERVOIR RD NW
WASHINGTON, DC 200072113
2024442000
MGMC LLC
3800 RESERVOIR RD NW
WASHINGTON, DC 200072113
2024443700
Source: CMS National Downloadable File, September 2026.