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 Family Medicine Physician · NPI 1477350403

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

In the registry since
2025
Specialties on file
6
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

130 Hospital Rd Ste 300
Prince Frederick, MD 20678-4057
Phone: (410) 535-4333
Fax: (410) 535-0495
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Family Medicine Physician Taxonomy 207Q00000X
Cardiovascular Disease Physician Taxonomy 207RC0000X
Gastroenterology Physician Taxonomy 207RG0100X
Nephrology Physician Taxonomy 207RN0300X
Pulmonary Disease Physician Taxonomy 207RP1001X

Record details

NPI number1477350403
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 NPPESDecember 15, 2025
Certification dateDecember 15, 2025
Mailing address24035 Three Notch Rd, Hollywood, MD 20636-4871

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