Unless otherwise indicated, this information has been self-reported and has not been verified by the Board of Medicine.
Primary Practice Address
Last Updated 4/11/2024
US Department of State
2201 C Street Northwest
Washington, DC 20520
Phone: 20265773277
Fax: 2022357475
Location Details
- Practitioner spends 100% of time at this location.
Years in Active Clinical Practice
Last Updated 4/11/2024
Years in Active Clinical Practice Inside US/Canada: 8
Medicaid
Last Updated 4/11/2024
Does Not Participate in the Virginia Medicaid program Is not accepting new Virginia Medicaid patients
Virginia
Hospital Affiliations
Last Updated 4/11/2024
None Reported
Hospital Affiliations in States Other Than Virginia
Last Updated 4/11/2024
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