Medical school: MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Graduated: 2009
NPI: 1669608691
Practice Locations (2)
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
1701 TWIN SPRINGS RD
HALETHORPE, MD 212273553
4107375000
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
5100 AUTH WAY
SUITLAND, MD 207464207
3017025000
Source: CMS National Downloadable File, September 2026.