Graduated: 1990
NPI: 1750371449
Practice Locations (4)
MGMC LLC
106 IRVING ST NW, MGMC LLC AT WHC POB
WASHINGTON, DC 200102927
2028773000
MEDSTAR MEDICAL GROUP II LLC
1145 19TH ST NW, 311 MMG AT 19TH STREET NW
WASHINGTON, DC 200363735
2024292401
MGMC LLC
3800 RESERVOIR RD NW
WASHINGTON, DC 200072113
2024443700
MEDSTAR MEDICAL GROUP II LLC
9103 FRANKLIN SQUARE DR
BALTIMORE, MD 212373900
4437772663
Source: CMS National Downloadable File, September 2026.