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NPI Code Detail

MEDICARE: MEDSTAR MEDICAL GROUP II LLC

MEDICARE: MEDSTAR MEDICAL GROUP II LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice Physician

General Provider Information

NPI Number : 1467388876
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEDSTAR MEDICAL GROUP II LLC
Provider Business Mailing Address
First Line : 3007 TILDEN ST NW STE 5N
Second Line :
City : WASHINGTON
State : DC
Zip : 20008-3030
Country : US
Telephone Number : 703-558-1403
Fax Number :
Provider Business Practice Location Address
First Line : 9707 OLD GEORGETOWN RD
Second Line :
City : BETHESDA
State : MD
Zip : 20814-1745
Country : US
Telephone Number : 703-558-1403
Fax Number :
Authorized Official
Title or Position : VP
Name : STEPHANIE SCHNEIDER
Credential :
Telephone Number : 702-558-1403
Provider Enumeration Date : 06/23/2026
Last Update Date : 06/23/2026

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Directions to “MEDSTAR MEDICAL GROUP II LLC ” Practice Location

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