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
10 ST. PATRICK'S DRIVE, WALDORF, MD 20603-4527
(301) 705-7870
(240) 448-2930
Mailing address
24035 THREE NOTCH RD, 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
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
—
207RI0200X
Infectious Disease Physician
—
—
207RN0300X
Nephrology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207RR0500X
Rheumatology Physician
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
207U00000X
Nuclear Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2084N0400X
Neurology Physician
—
—
Other
Enumeration date
02/27/2025
Last updated
08/14/2025
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