Organization · Type 2 NPI

Medstar Medical Group - Southern Maryland LLC

Hematology & Oncology Physician · Bowie, MD

NPI number 1740087774 Active

Practice location

14300 Gallant Fox Lane Suite 123
Bowie, MD 20715-1001

Call (301) 860-1310 Map

Fax (301) 860-1331

Mailing address

24035 Three Notch Rd
Hollywood, MD 20636-4871

Specialties and licenses

Taxonomy	Code	License
Hematology & Oncology Physician Primary	207RH0003X	None listed

Hematology & Oncology Physician: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

NPI record

NPI: 1740087774
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

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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 1740087774

Medstar Medical Group - Southern Maryland LLC's National Provider Identifier is 1740087774, issued on Feb 27, 2025. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Bowie, MD. The record was last updated on Aug 1, 2025.