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 1689472193

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

In the registry since
2025
Specialties on file
4
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

26840 Point Lookout Rd
Leonardtown, MD 20650-0664
Phone: (301) 475-5577
Fax: (301) 475-7419
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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
Infectious Disease Physician Taxonomy 207RI0200X
Nephrology Physician Taxonomy 207RN0300X

Record details

NPI number1689472193
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 enumeratedMarch 3, 2025
Last updated in NPPESAugust 20, 2025
Certification dateAugust 20, 2025
Mailing address24035 Three Notch Road, Hollywood, MD 20636-4871

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