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Contact Information

MEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC
900 EAST SWANN CREEK ROAD
FORT WASHINGTON, MD20744-5250
 Phone: 301-292-1590
 Fax: 301-861-1210
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Clinical Pathology

207ZC0006X 22 Physician/Pathology
 

Nephrology

207RN0300X 11 Physician/Internal Medicine
 

Neurology

2084N0400X 13 Physician/Neurology
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for MEDSTAR MEDICAL GROUP SOUTHERN MARYLAND LLC · (Female)

NPI # 1649077678
Status Active
Credentials
Entity Individual
Enumeration date 02/27/2025
Last updated 08/01/2025 - About 10 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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