# SOUTHERN MARYLAND MEDICAL GROUP LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1942448113
- **Authorized official:** GIRISH SADASHIVA RAO MD (MANAGING PHYSICIAN)
- **Authorized official phone:** (301) 552-1200

## Contact information

- **Practice address:** 5801 ALLENTOWN RD STE 400, CAMP SPRINGS, MD 20746-4585
- **Practice address phone:** (301) 868-0150
- **Practice address fax:** (301) 868-0243
- **Mailing address:** 7500 GREENWAY CENTER DR STE 1200, GREENBELT, MD 20770-3556
- **Mailing address phone:** (301) 486-7580
- **Mailing address fax:** (301) 486-7581

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 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