Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Medstar Southern Maryland Physicians, LLC

Organization Family Medicine Physician · NPI 1720322134

Medstar Southern Maryland Physicians, LLC is a Family Medicine Physician in Waldorf, Maryland. Registered with an NPI since 2012.

In the registry since
2012
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

10 Saint Patricks Dr Ste 203
Waldorf, MD 20603-4527
Phone: (301) 843-0222
Fax: (301) 843-0651
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Otolaryngology Physician Taxonomy 207Y00000X
Pediatrics Physician Taxonomy 208000000X

Record details

NPI number1720322134
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Debora Kuchka-Craig — Corporate Vice President · (410) 772-6827
NPI enumeratedNovember 26, 2012
Last updated in NPPESNovember 26, 2012
Mailing address10 Saint Patricks Dr, Suite 203, Waldorf, MD 20603-4527

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