Graduated: 1989
NPI: 1811199383
Practice Locations (3)
MEDSTAR MEDICAL GROUP II LLC
3800 RESERVOIR RD NW
WASHINGTON, DC 200072113
2024442000
MGMC LLC
3800 RESERVOIR RD NW
WASHINGTON, DC 200072113
2024443700
MEDSTAR MEDICAL GROUP II LLC
29955 THREE NOTCH RD, 100 MMG AT CHARLOTTE HALL
CHARLOTTE HALL, MD 206223159
3012905300
Source: CMS National Downloadable File, September 2026.