MEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC

PRINCE FREDERICK, MD
NPI1477350403
Doing Business AsMEDSTAR SHAH MEDICAL GROUP LLC
Entity TypeOrganization
Authorized ContactALAN ADAIR BUSTER
C.O.O.
301-373-7905
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Additional Taxonomies207RC0000X Internal Medicine, Cardiovascular Disease
207RG0100X Internal Medicine, Gastroenterology
207RN0300X Internal Medicine, Nephrology
207RP1001X Internal Medicine, Pulmonary Disease
207Q00000X Family Medicine
Enumeration Date2025-02-27
Last Update Date2025-08-01
Business Address
MEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC
130 HOSPITAL DRIVE STE 300
PRINCE FREDERICK, MD 20678-4057
Phone number: 410-535-4333
Mailing Address
MEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC
24035 THREE NOTCH ROAD
HOLLYWOOD, MD 20636-4871
Phone number: 301-373-7900