NPI
Medstar Medical Group - Southern Maryland LLC
Doing business as Medstar Shah Medical Group, LLC. NPI 1831592211
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2014-09-30
- Last updated
- 2026-03-12
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Specialties
- 207R00000XInternal Medicine · Primary
- 207V00000XObstetrics & Gynecology
- 207ZP0102XPathology, Anatomic Pathology & Clinical Pathology
- 207RC0000XInternal Medicine, Cardiovascular Disease
- 207RN0300XInternal Medicine, Nephrology
- 207N00000XDermatology
- 208000000XPediatrics
- 207RE0101XInternal Medicine, Endocrinology, Diabetes & Metabolism
- 207RH0003XInternal Medicine, Hematology & Oncology
- 207RP1001XInternal Medicine, Pulmonary Disease
- 207Q00000XFamily Medicine
- 208VP0014XPain Medicine, Interventional Pain Medicine
- 207RI0200XInternal Medicine, Infectious Disease
- 207RG0100XInternal Medicine, Gastroenterology
- 2084N0400XPsychiatry & Neurology, Neurology
Licenses
The registry row did not include a license.
Location
- Practice location
- 24035 Three Notch Road
- City
- Hollywood MD
- Postal code
- 20636-4871
- Phone
- (301) 373-7900
Organization contact
- Name
- Eric Wagner
- Title
- Executive Vice President
- Phone
- (410) 772-6595
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Hollywood, MD. 144 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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