Organization · Type 2 NPI

Medstar Medical Group - Southern Maryland LLC

Cardiovascular Disease Physician · Brandywine, MD

NPI number 1659178689 Active

Practice location

7704 Matapeake Business Dr Suite 325
Brandywine, MD 20613-3043

Call (240) 244-5151 Map

Fax (240) 244-5131

Mailing address

24035 Three Notch Road
Hollywood, MD 20636-4871

Specialties and licenses

Taxonomy	Code	License
Cardiovascular Disease Physician Primary	207RC0000X	None listed

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Another provider at this address

Basirmohmad F. Kolia, MDCardiovascular Disease Physician Brandywine, MD NPI 1003898271

Other cardiovascular disease physician providers in Brandywine

See all in Brandywine →

NPI record

NPI: 1659178689
Entity type: Organization (Type 2)
Issued: Feb 27, 2025
Last updated: Aug 1, 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

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1659178689

Medstar Medical Group - Southern Maryland LLC's National Provider Identifier is 1659178689, issued on Feb 27, 2025. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Brandywine, MD. The record was last updated on Aug 1, 2025.