Organization
MEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC
Active
Other names
MedStar Shah Medical Group LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN ADAIR BUSTER (C.O.O.)
(301) 373-7905
Entity
Organization
Contact information
Practice address
1015 N PRINCE FREDERICK BLVD, PRINCE FREDERICK, MD 20678-3193
(410) 535-4116
(410) 414-8480
Mailing address
24035 THREE NOTCH RD, HOLLYWOOD, MD 20636-4871
(301) 373-7900
(301) 373-6900
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
02/27/2025
Last updated
08/14/2025
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