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 Internal Medicine Physician · NPI 1912704941

Medstar Medical Group - Southern Maryland LLC is an Internal Medicine Physician in Charlotte Hall, Maryland. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
5
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

37767 Market Dr 2nd Fl
Charlotte Hall, MD 20622-3188
Phone: (301) 884-7322
Fax: (301) 884-8663
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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
Cardiovascular Disease Physician Taxonomy 207RC0000X
Endocrinology, Diabetes & Metabolism Physician Taxonomy 207RE0101X
Pediatrics Physician Taxonomy 208000000X
Neurology Physician Taxonomy 2084N0400X

Record details

NPI number1912704941
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 enumeratedFebruary 27, 2025
Last updated in NPPESAugust 1, 2025
Certification dateAugust 1, 2025
Mailing address24035 Three Notch Road, Hollywood, MD 20636-4871

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