Organization
SHADY GROVE SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHABNAM DADGAR (MD)
(240) 912-4546
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
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
04/11/2018
Last updated
12/05/2025
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