Graduated: 1985
NPI: 1760528095
Practice Locations (5)
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
1221 MERCANTILE LN
LARGO, MD 207745374
3016185700
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
3000 POTOMAC AVE
ALEXANDRIA, VA 223053084
7037216300
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
43480 YUKON DR, SUITE 100
ASHBURN, VA 201476988
5712526000
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
12255 FAIR LAKES PKWY
FAIRFAX, VA 220333952
7032374800
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
201 N WASHINGTON ST
FALLS CHURCH, VA 220464518
7032374000
Source: CMS National Downloadable File, September 2026.