Organization
SOUTHERN MARYLAND MEDICAL GROUP LLC
Active
Parent organization
SOUTHERN MARYLAND MEDICAL GROUP LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHERN MARYLAND MEDICAL GROUP LLC
Authorized official
GIRISH SADASHIVA RAO MD (PARTNER)
(301) 452-7945
Entity
Organization
Contact information
Practice address
7500 GREENWAY CENTER DR STE 1200, GREENBELT, MD 20770-3556
(301) 486-7580
(301) 486-7581
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
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/09/2025
Last updated
01/09/2025
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