Graduated: 1999
NPI: 1669552923
Practice Locations (4)
MEDSTAR MEDICAL GROUP II LLC
5601 LLOCH RAVEN BLVD
BALTIMORE, MD 212392945
4105811200
MEDSTAR MEDICAL GROUP II LLC
5601 LOCH RAVEN BLVD RUSSEL, STE2
BALTIMORE, MD 212392945
4434445600
MEDSTAR MEDICAL GROUP II LLC
1406 CRAIN S HWY 106
GLEN BURNIE, MD 210614086
4107686440
NORTHWEST HOSPITAL CENTER INC
5401 OLD COURT RD
RANDALLSTOWN, MD 211335103
4107014434
Source: CMS National Downloadable File, September 2026.