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 Internal Medicine Physician · NPI 1417754458

Medstar Medical Group - Southern Maryland LLC is an Internal Medicine Physician in Leonardtown, 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.

See every abbreviation used in this directory →

Practice location Address checks out

22650 Cedar Lane Ct
Leonardtown, MD 20650-3965
Phone: (301) 475-5021
Fax: (301) 997-0264
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1417754458
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

Other providers in Leonardtown