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Medstar Medical Group - Southern Maryland LLC

Organization Active NPI Clinical Pathology Physician · Fort Washington, MD

NPI 1811794845 · NPPES record last updated Jun 12, 2026

Key facts

NPI
1811794845
Entity type
Organization (NPI type 2)
Primary specialty
Clinical Pathology Physician 207ZC0006X
Legal business name
MEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC
Practice address
952-A East Swann Creek Rd
Fort Washington, MD 20744-5104
Phone
(301) 292-7270
Fax
(301) 747-9106
NPI assigned
Feb 27, 2025
Organization subpart
No

Authorized official

Name
Alan Adair Buster
Title
C.O.O.
Phone
(301) 373-7905

Corporate family (same tax ID) 29

Organizations that report the same tax identification number in the National Provider Directory.

View all 29

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D0210507Medstar Shah Medical Group Fort Washington
952-A East Swann Creek Rd, Fort Washington, MD 20744		ComplianceNov 6, 2026

National Provider Directory

Tax ID family
Medstar Medical Group (30 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Pathology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207ZC0006X Yes

Addresses

Primary practice location

952-A East Swann Creek Rd
Fort Washington, MD 20744-5104

Mailing address

24035 Three Notch Rd
Hollywood, MD 20636-4871
Phone (301) 373-7900

Other names

  • MedStar Shah Medical Group LLC Doing business as

Other providers in Fort Washington, MD

All providers in Fort Washington, MD · Clinical Pathology Physician in Maryland

Sources for this page

Verify at the official NPI Registry.