| Southern Maryland Medical Group Llc | |
|
6510 Kenilworth Ave Ste 1400 Riverdale MD 20737-1339 | |
| (301) 618-0771 | |
| Not Available |
| Full Name | Southern Maryland Medical Group Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6510 Kenilworth Ave Ste 1400, Riverdale, Maryland |
| Authorized Official Name and Position | Girish Sadashiva Rao (PARTNER) |
| Authorized Official Contact | 3014527945 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Maryland Medical Group Llc 7500 Greenway Center Dr Ste 1200 Greenbelt MD 20770-3556 Ph: (301) 486-7580 | Southern Maryland Medical Group Llc 6510 Kenilworth Ave Ste 1400 Riverdale MD 20737-1339 Ph: (301) 618-0771 |
| NPI Number | 1215747563 |
|---|---|
| Provider Enumeration Date | 01/09/2025 |
| Last Update Date | 01/09/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215747563 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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