Graduated: 2007
NPI: 1679764633
Practice Locations (2)
MEDSTAR MEDICAL GROUP II LLC
110 IRVING ST NW
WASHINGTON, DC 200103017
2028777000
MEDSTAR MEDICAL GROUP II LLC
29955 THREE NOTCH RD, 100 MMG AT CHARLOTTE HALL
CHARLOTTE HALL, MD 206223159
3012905300
Source: CMS National Downloadable File, September 2026.