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 (CREDENTIALING)
(301) 373-7905
Entity
Organization
Contact information
Practice address
26840 POINT LOOKOUT ROAD, LEONARDTOWN, MD 20650-0664
(301) 475-5577
(301) 475-7419
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
—
—
207RI0200X
Infectious Disease Physician
—
—
207RN0300X
Nephrology Physician
—
—
Other
Enumeration date
03/03/2025
Last updated
08/20/2025
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