Southern Maryland Medical Group LLC

NPI #1215747563 in Riverdale, Maryland

Provider Information

NPI Number: 1215747563
Entity Type: Organization
Organization Name: Southern Maryland Medical Group LLC
Subpart: Yes (part of a larger organization)
Parent Organization: SOUTHERN MARYLAND MEDICAL GROUP LLC
Primary Specialty: Internal Medicine
Enumeration Date: Jan 9, 2025
Last Updated: Jan 9, 2025

Practice Location

Address: 6510 KENILWORTH AVE STE 1400
City: Riverdale
State: Maryland
ZIP Code: 20737-1339
Phone: (301) 618-0771

Authorized Official

Name: GIRISH SADASHIVA RAO, MD
Title: PARTNER
Phone: (301) 452-7945

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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