Organization · Type 2 NPI

Shady Grove Minimally Invasive

Specialist · Gaithersburg, MD

NPI number 1083974307 Active

Practice location

10810 Darnestown Rd Ste 202
Gaithersburg, MD 20878-2601

Call (240) 912-4546 Map

Fax (240) 912-4471

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XD0072779 (MD)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

4 other providers at this address

Other specialist providers in Gaithersburg

See all in Gaithersburg →

About NPI 1083974307

Shady Grove Minimally Invasive's National Provider Identifier is 1083974307, issued on May 21, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Gaithersburg, MD. The record was last updated on Dec 24, 2025.