Medical school: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated: 2010
NPI: 1780900498
Practice Locations (2)
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
1201 HOSPITAL DR
FREDERICKSBURG, VA 224018428
5403683700
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
6551 LOISDALE CT
SPRINGFIELD, VA 221501828
7039221000
Source: CMS National Downloadable File, September 2026.