MEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC

CLINTON, MD
NPI1700683737
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
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism
207RI0200X Internal Medicine, Infectious Disease
2081P2900X Physical Medicine & Rehabilitation, Pain Medicine
Enumeration Date2025-02-27
Last Update Date2025-08-14
Business Address
MEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC
10403 HOSPITAL DR 102
CLINTON, MD 20735-3134
Phone number: 301-531-9190
Mailing Address
MEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC
24035 THREE NOTCH RD
HOLLYWOOD, MD 20636-4871
Phone number: 301-373-7900