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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

NPI Number 1649077678
LBN Legal business name MEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC
Authorized official ALAN BUSTER - (C.O.O.)
Entity Organization
Organization subpart 1 No
Enumeration date 02/27/2025
Last updated 08/01/2025 - About 10 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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