Unless otherwise indicated, this information has been self-reported and has not been verified by the Board of Medicine.
Primary Practice Address
Last Updated 9/13/2018
None Reported
Additional Practice Address
Last Updated 9/13/2018
Food and Drug Administration
10903 New Hampshire Avenue
Silver Spring, MD 20993
Phone: 301-796-0897
Location Details
- Practitioner spends 25% of time at this location.
- Days that practitioner sees patients at this location:
None
Years in Active Clinical Practice
Last Updated 9/13/2018
Years in Active Clinical Practice Inside US/Canada: 8
Medicaid
Last Updated 9/13/2018
Does Not Participate in the Virginia Medicaid program Is not accepting new Virginia Medicaid patients
Medicare
Last Updated 9/13/2018
Is a Medicare participating provider
Virginia
Hospital Affiliations
Last Updated 9/13/2018
None Reported
Hospital Affiliations in States Other Than Virginia
Last Updated 9/13/2018
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