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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
950 E SWANN CREEK RD, FORT WASHINGTON, MD 20744-5250
(301) 292-7270
(301) 292-6432
Mailing address
24035 THREE NOTCH ROAD, HOLLYWOOD, MD 20636-4871
(301) 373-7900
(301) 373-6900

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
Primary
207RN0300X
Nephrology Physician
207ZC0006X
Clinical Pathology Physician
208000000X
Pediatrics Physician

Other

Enumeration date
02/27/2025
Last updated
08/01/2025
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