Organization
SOUTHERN MARYLAND MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GIRISH SADASHIVA RAO MD (MANAGING PHYSICIAN)
(301) 552-1200
Entity
Organization
Contact information
Practice address
5801 ALLENTOWN RD STE 400, CAMP SPRINGS, MD 20746-4585
(301) 868-0150
(301) 868-0243
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
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
01/27/2009
Last updated
01/03/2025
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