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 1790582740

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

In the registry since
2025
Specialties on file
11
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

4240 Altamont Pl
White Plains, MD 20695-3052
Phone: (240) 581-6021
Fax: (240) 581-2020
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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
Endocrinology, Diabetes & Metabolism Physician Taxonomy 207RE0101X
Infectious Disease Physician Taxonomy 207RI0200X
Nephrology Physician Taxonomy 207RN0300X
Pulmonary Disease Physician Taxonomy 207RP1001X
Rheumatology Physician Taxonomy 207RR0500X
Otolaryngology Physician Taxonomy 207Y00000X
Pediatrics Physician Taxonomy 208000000X
Pain Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081P2900X

Record details

NPI number1790582740
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 1, 2025
Certification dateAugust 1, 2025
Mailing address24035 Three Notch Rd, Hollywood, MD 20636-4871

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