Organization · Type 2 NPI

Medstar Medical Group - Southern Maryland LLC

Urology Physician · Prince Frederick, MD

NPI number 1023815065 Active

Practice location

1015 N Prince Frederick Blvd
Prince Frederick, MD 20678-3193

Call (410) 535-4116 Map

Fax (410) 414-8480

Mailing address

24035 Three Notch Rd
Hollywood, MD 20636-4871

Specialties and licenses

Taxonomy	Code	License
Urology Physician Primary	208800000X	None listed

Urology Physician: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Another provider at this address

Anirudh GuduruUrology Physician Prince Frederick, MD NPI 1356970057

NPI record

NPI: 1023815065
Entity type: Organization (Type 2)
Issued: Feb 27, 2025
Last updated: Aug 14, 2025
Status: Active

Other names

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Medstar Shah Medical Group LLC · doing business as
Medstar Shah Medical Group LLC · doing business as

Authorized official

Alan Adair Buster
C.o.o.
(301) 373-7905

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About NPI 1023815065

Medstar Medical Group - Southern Maryland LLC's National Provider Identifier is 1023815065, issued on Feb 27, 2025. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in Prince Frederick, MD. The record was last updated on Aug 14, 2025.