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Organization
SOUTHERN MARYLAND MEDICAL GROUP LLC
Active
Organization
SOUTHERN MARYLAND MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GIRISH SADASHIVA RAO MD (MANAGING PHYSICIAN)
(301) 552-1200
Entity
Organization
Contact information
Practice address
5801 ALLENTOWN RD STE 400, CAMP SPRINGS, MD 20746-4585
(301) 868-0150
(301) 868-0243
Mailing address
7500 GREENWAY CENTER DR STE 1200, GREENBELT, MD 20770-3556
(301) 486-7580
(301) 486-7581
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
NULL
207RC0000X
Cardiovascular Disease Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
NULL
207RI0011X
Interventional Cardiology Physician
—
—
261QP2000X
Physical Therapy Clinic/Center
—
NULL
Other
Enumeration date
01/27/2009
Last updated
01/03/2025
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