Medical school: MEDICAL COLLEGE OF WISCONSIN
Graduated: 2001
NPI: 1730110784
Practice Locations (2)
INDIAN HEALTH CENTER OF SANTA CLARA VALLEY
1333 MERIDIAN AVE
SAN JOSE, CA 951255212
40844534003730
INDIAN HEALTH CENTER OF SANTA CLARA VALLEY
1642 E CAPITOL EXPY
SAN JOSE, CA 951211800
40844534003730
Source: CMS National Downloadable File, September 2026.