MEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC
NPI 1831592211
Internal Medicine in Hollywood, MD

Q: What is Medstar Medical Group - Southern Maryland LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since September 30, 2014

24035 THREE NOTCH ROAD, HOLLYWOOD, MD 20636(301) 373-7900(301) 373-6900 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 12, 2026, Aug 12, 2025, Aug 19, 2024 and 3 more (6 updates tracked since 2021).

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About Medstar Medical Group - Southern Maryland Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC (NPI 1831592211), doing business as Medstar Shah Medical Group, Llc, is a healthcare organization registered as an internal medicine in Hollywood, Maryland and active in the NPI registry since September 2014. The organization maintains 24 additional practice locations and lists Eric R Wagner, Executive Vice President, as its authorized official.

NPPES Registry Identity

NPI1831592211

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameMEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC

Location Address24035 THREE NOTCH ROADHollywood, MD 20636-4871

Mailing Address24035 Three Notch RdHollywood, MD 20636-4871 · (301) 373-7900 · Fax (301) 373-6900

Phone(301) 373-7900

Fax(301) 373-6900

Organization SubpartNo

Authorized OfficialEric R WagnerExecutive Vice President · (410) 772-6595

Enumeration DateSeptember 30, 2014

Last NPPES UpdateMarch 12, 20266 updates tracked since enumeration

NPPES CertifiedMarch 12, 2026

✔ NPI 1831592211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedDermatologyTaxonomy 207N00000X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X

Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X

Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X

Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X

Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X

Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X

Also ListedObstetrics & GynecologyTaxonomy 207V00000X

Also ListedPathology · Anatomic Pathology & Clinical PathologyTaxonomy 207ZP0102X

Also ListedPediatricsTaxonomy 208000000X

Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X

Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X

24035 THREE NOTCH ROAD, Hollywood, MD 20636

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Other Names 1

Doing Business AsMedstar Shah Medical Group, Llc

Secondary Practice Locations 24

Location 1952 E Swann Creek RoadFort Washington, MD 20744-1124 · Phone (301) 292-7270 · Fax (301) 747-9106

Location 27501 Greenway Center Drive Suite 500Greenbelt, MD 20770-3546 · Phone (301) 779-5106 · Fax (301) 779-5109

Location 37300 Hanover Drive Suite 202Greenbelt, MD 20770-2247 · Phone (301) 441-1557 · Fax (301) 345-1835

Location 426840 Point Lookout RoadLeonardtown, MD 20650-0664 · Phone (301) 475-5577 · Fax (301) 475-7419

Location 54240 Altamont PlaceWhite Plains, MD 20695-3052 · Phone (240) 518-6020 · Fax (240) 518-6021

Location 623415 THREE NOTCH RD 2051California, MD 20619-4018 · Phone (301) 373-7800 · Fax (301) 373-6800

Location 710 Saint Patricks DrWaldorf, MD 20603-4527 · Phone (301) 373-7900 · Fax (301) 373-6900

Location 8130 Hospital Rd Ste 300Prince Frederick, MD 20678-4057 · Phone (410) 535-4333 · Fax (410) 535-3260

Location 99811 Greenbelt Rd Ste 104Lanham, MD 20706-6241 · Phone (301) 373-7900 · Fax (301) 373-6900

Location 10108 Forbes St 2nd FloorAnnapolis, MD 21401-1502 · Phone (410) 571-7880 · Fax (109) 406-5384

Location 1110403 Hospital Dr 102Clinton, MD 20735-3134 · Phone (301) 531-9190 · Fax (301) 531-9191

Location 1222590 SHADY COURTCalifornia, MD 20619-5009 · Phone (301) 737-0500 · Fax (301) 373-3351

Location 1337767 Market Dr 2nd FloorCharlotte Hall, MD 20622-3188 · Phone (301) 884-7330 · Fax (301) 884-7530

Location 141015 Prince Frederick BlvdPrince Frederick, MD 20678-3193 · Phone (410) 535-4116 · Fax (410) 414-8480

Location 1522650 Cedar Lane CtLeonardtown, MD 20650-3965 · Phone (301) 475-5021 · Fax (301) 997-0264

Location 1628030 Old Village RoadMechanicsville, MD 20659-3295 · Phone (301) 884-4666 · Fax (301) 884-5852

Location 176710 Oxon Hill Road Suite 250Oxon Hill, MD 20745-1124 · Phone (301) 292-7270 · Fax (301) 203-0740

Location 1811910 HG Trueman RoadLsuby, MD 20657-2921 · Phone (410) 326-6391 · Fax (410) 326-6399

Location 19950 E Swann Creek RdFt Washington, MD 20744-5250 · Phone (301) 292-7270 · Fax (301) 292-6432

Location 20900 East Swann Creek RoadFt Washington, MD 20744-5250 · Phone (301) 292-1590 · Fax (301) 861-1210

Location 217704 Matapeake Business Dr Suite 325Brandywine, MD 20613-3043 · Phone (240) 244-5151 · Fax (240) 244-5131

Location 222200 Defense Hwy Suite 103Crofton, MD 21114-2926 · Phone (410) 721-5280 · Fax (410) 721-2243

Location 2314300 Gallant Fox Lane Suite 123Bowie, MD 20715-1001 · Phone (301) 860-1310 · Fax (301) 860-1331

Location 2410583 Theodore Green BlvdWhite Plains, MD 20695-3022 · Phone (301) 934-9300 · Fax (301) 934-6963

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC

Clinic/Center (Ambulatory Surgical)

24035 THREE NOTCH ROAD
HOLLYWOOD, MD 20636

St. Mary's County (301) 373-7900

MISS RUKAIYA BASHIR HAMIDU MD

Internal Medicine (Gastroenterology)

24035 THREE NOTCH ROAD
HOLLYWOOD, MD 20636

St. Mary's County (301) 373-7900

VIJAYA GUDURI

Internal Medicine

24035 THREE NOTCH ROAD, SHAH ASSOCIATES MD LLC
HOLLYWOOD, MD 20636

St. Mary's County (301) 373-7100

DR. IRAM A KHAN MD

Internal Medicine (Gastroenterology)

24035 THREE NOTCH ROAD
HOLLYWOOD, MD 20636

St. Mary's County (301) 373-7102

MR. SHASHANK KRISHNAJI DENGLE MD

Internal Medicine (Cardiovascular Disease)

24035 THREE NOTCH ROAD
HOLLYWOOD, MD 20636

St. Mary's County (301) 373-7900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Medstar Medical Group - Southern Maryland LLC's NPI number?

The NPI number for Medstar Medical Group - Southern Maryland LLC is 1831592211. It was assigned to this organization in the NPPES registry on September 30, 2014. The provider is doing business as MedStar Shah Medical Group, LLC.

Where is Medstar Medical Group - Southern Maryland LLC located?

Medstar Medical Group - Southern Maryland LLC is located at 24035 Three Notch Road, Hollywood, MD 20636. The listed phone number is (301) 373-7900.

What is Medstar Medical Group - Southern Maryland LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Medstar Medical Group - Southern Maryland LLC was last updated on March 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.