Medical school: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Graduated: 2011
Offers telehealth
NPI: 1912252156
Practice Locations (1)
NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC
1505 NORTHSIDE BLVD, SUITE 2500
CUMMING, GA 300417662
7702924540
Source: CMS National Downloadable File, September 2026.