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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
11910 HG TRUEMAN ROAD, LUSBY, MD 20657-2921
(410) 326-6391
(410) 326-6399
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
Primary

Other

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