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

Medstar Medical Group - Southern Maryland LLC

Organization Urology Physician · NPI 1023815065

Medstar Medical Group - Southern Maryland LLC is an Urology Physician in Prince Frederick, Maryland. Registered with an NPI since 2025.

In the registry since
2025
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

1015 N Prince Frederick Blvd
Prince Frederick, MD 20678-3193
Phone: (410) 535-4116
Fax: (410) 414-8480
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X

Record details

NPI number1023815065
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alan Buster — C.O.O. · (301) 373-7905
Other names Medstar Shah Medical Group Llc; Medstar Shah Medical Group Llc
NPI enumeratedFebruary 27, 2025
Last updated in NPPESAugust 14, 2025
Certification dateAugust 14, 2025
Mailing address24035 Three Notch Rd, Hollywood, MD 20636-4871

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