# SOUTHERN MARYLAND PRIMARY CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831386630
- **Authorized official:** NIRAN P SHARMA MD (OWNER)
- **Authorized official phone:** (301) 638-9670

## Contact information

- **Practice address:** 3460 OLD WASHINGTON RD, SUITE 203A, WALDORF, MD 20602-3240
- **Practice address phone:** (301) 638-9670
- **Practice address fax:** (301) 638-7558
- **Mailing address:** PO BOX 1558, WALDORF, MD 20604-1558
- **Mailing address phone:** (301) 638-9670
- **Mailing address fax:** (301) 638-7558

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | D78727 | MD | Yes |

## Other

- **Enumeration date:** 09/26/2007
- **Last updated:** 12/18/2012