# SHADY GROVE FAMILY HEALTH CARE INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255414389
- **Authorized official:** MR. SOCRATES FOTIU MD (PRESIDENT)
- **Authorized official phone:** (301) 251-9800

## Contact information

- **Practice address:** 14800 PHYSICIANS LN, \#131, ROCKVILLE, MD 20850
- **Practice address phone:** (301) 251-9800
- **Practice address fax:** (301) 251-9802
- **Mailing address:** 14800 PHYSICIANS LN, \#131, ROCKVILLE, MD 20850
- **Mailing address phone:** (301) 251-9800
- **Mailing address fax:** (301) 251-9802

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | D16065 | MD | Yes |

## Other

- **Enumeration date:** 10/23/2006
- **Last updated:** 05/21/2008