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 Family Medicine Physician · NPI 1629875661

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

In the registry since
2025
Specialties on file
15
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

10 St Patrick's Dr
Waldorf, MD 20603-4527
Phone: (301) 705-7870
Fax: (240) 448-2930
Show map & directions

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
Endocrinology, Diabetes & Metabolism Physician Taxonomy 207RE0101X
Gastroenterology Physician Taxonomy 207RG0100X
Hematology & Oncology Physician Taxonomy 207RH0003X
Infectious Disease Physician Taxonomy 207RI0200X
Nephrology Physician Taxonomy 207RN0300X
Pulmonary Disease Physician Taxonomy 207RP1001X
Rheumatology Physician Taxonomy 207RR0500X
Sleep Medicine (Internal Medicine) Physician Taxonomy 207RS0012X
Nuclear Medicine Physician Taxonomy 207U00000X
Pediatrics Physician Taxonomy 208000000X
Pain Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081P2900X
Neurology Physician Taxonomy 2084N0400X

Record details

NPI number1629875661
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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