MEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC

WALDORF, MD
NPI1629875661
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 Taxonomies207Q00000X Family Medicine
207RC0000X Internal Medicine, Cardiovascular Disease
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism
207RG0100X Internal Medicine, Gastroenterology
207RH0003X Internal Medicine, Hematology & Oncology
207RI0200X Internal Medicine, Infectious Disease
207RN0300X Internal Medicine, Nephrology
207RP1001X Internal Medicine, Pulmonary Disease
207RR0500X Internal Medicine, Rheumatology
207RS0012X Internal Medicine, Sleep Medicine
207U00000X Nuclear Medicine
208000000X Pediatrics
2081P2900X Physical Medicine & Rehabilitation, Pain Medicine
2084N0400X Psychiatry & Neurology, Neurology
Enumeration Date2025-02-27
Last Update Date2025-08-14
Business Address
MEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC
10 ST. PATRICK'S DRIVE
WALDORF, MD 20603-4527
Phone number: 301-705-7870
Mailing Address
MEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC
24035 THREE NOTCH RD
HOLLYWOOD, MD 20636-4871
Phone number: 301-373-7900