Unless otherwise indicated, this information has been self-reported and has not been verified by the Board of Medicine.
Primary Practice Address
Last Updated 5/2/2022
Kaiser Permanente Mid Atlantic
6111 Executive Blvd
Rockville, MD 20852
Phone: 301-255-4000
Fax: 301-255-4031
Location Details
- Practitioner spends 100% of time at this location.
- Days that practitioner sees patients at this location:
None
Years in Active Clinical Practice
Last Updated 5/2/2022
Years in Active Clinical Practice Inside US/Canada: 7
Medicaid
Last Updated 5/2/2022
Does Not Participate in the Virginia Medicaid program Is not accepting new Virginia Medicaid patients
Medicare
Last Updated 5/2/2022
Is a Medicare participating provider
Is accepting new Medicare patients
Virginia
Hospital Affiliations
Last Updated 5/2/2022
None Reported
Hospital Affiliations in States Other Than Virginia
Last Updated 5/2/2022
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