Graduated: 2003
NPI: 1679710776
Practice Locations (2)
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
110 IRVING ST NW
WASHINGTON, DC 200103017
2028779875
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
43480 YUKON DR, SUITE 100
ASHBURN, VA 201476988
5712526000
Source: CMS National Downloadable File, September 2026.