Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Medstar Medical Group - Southern Maryland LLC

Organization Cardiovascular Disease Physician · NPI 1003613043

Medstar Medical Group - Southern Maryland LLC is a Cardiovascular Disease Physician in Clinton, Maryland. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9131 Piscataway Rd Ste 610
Clinton, MD 20735-2568
Phone: (301) 868-2106
Fax: (301) 868-6757
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X
Pain Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081P2900X

Record details

NPI number1003613043
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alan Buster — Credentialing · (301) 373-7905
Other names Medstar Shah Medical Group Llc; Medstar Shah Medical Group Llc
NPI enumeratedFebruary 27, 2025
Last updated in NPPESAugust 1, 2025
Certification dateAugust 1, 2025
Mailing address24035 Three Notch Rd, Hollywood, MD 20636-4871

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