General Info

Primary Practice Address

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Additional Practice Address

12604 Lake Ridge Drive
Woodbridge, VA 22192
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Licensing Information

License Status:
Year Virginia Medical License Received: 12/30/1899

Medicaid and Medicare

Does Not Participate in the Virginia Medicaid program
Is not accepting new Virginia Medicaid patients

Updated on: 8/11/2022


Medical, Osteopathic, or Podiatric School Attended

Residency and Internships

Pediatrics University of Texas Health science center
San Antonio, Texas, USA
Year Internship Completed 2002
Pediatrics University of Texas Health science Center
San Antonio, Texas, USA
Year Residency Completed 2004
Pediatric Cardiology University of Florida
Gainesville, Florida, USA
Year Fellowship Completed 2007

Updated on: 8/11/2022


Board Certifications

Year of Initial Certifications: 2004
Current Certification Expires: 2026
Pediatrics: Pediatric Cardiology
Year of Initial Certifications: 2008
Current Certification Expires: 2026

Self-Designated Specialties

Family Practice

Updated on: 8/11/2022


University of Tennessee Health Science Center College of Medicine - Memphis TN

Updated on: 8/11/2022