Medical school: VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Graduated: 2019
NPI: 1972066504
Practice Locations (3)
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
5999 BURKE COMMONS RD
BURKE, VA 220152880
7032497700
Source: CMS National Downloadable File, September 2026.