Organization
SHADY GROVE MINIMALLY INVASIVE
Active
Other names
Shabnam Dadgar
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHABNAM DADGAR MD (OWNER)
(703) 868-1235
Entity
Organization
Contact information
Practice address
10810 DARNESTOWN RD STE 202, GAITHERSBURG, MD 20878-2601
(240) 912-4546
(240) 912-4471
Mailing address
10810 DARNESTOWN RD STE 202, GAITHERSBURG, MD 20878-2601
(240) 912-4546
(240) 912-4471
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D0072779
MD
Other
Enumeration date
05/21/2012
Last updated
12/24/2025
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