Medical school: UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduated: 1994
NPI: 1770546368
Practice Locations (3)
MAK ANESTHESIA HOLDINGS, LLC
3950 AUSTELL RD
AUSTELL, GA 301061121
7707021806
WELLSTAR MEDICAL GROUP LLC
8954 HOSPITAL DR
DOUGLASVILLE, GA 301342272
6788382585
WELLSTAR MEDICAL GROUP LLC
5150 STILESBORO N W RD, SUITE 220
KENNESAW, GA 301527742
7704248222
Source: CMS National Downloadable File, September 2026.