Organization · Type 2 NPI

Shady Grove Surgery Center LLC

Obstetrics & Gynecology Physician · Gaithersburg, MD

NPI number 1194222620 Active

Practice location

10810 Darnestown Rd Ste 202
Gaithersburg, MD 20878-2601

Fax (240) 912-4471

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Physician Primary 207V00000XNone listed

Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

4 other providers at this address

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About NPI 1194222620

Shady Grove Surgery Center LLC's National Provider Identifier is 1194222620, issued on Apr 11, 2018. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Gaithersburg, MD. The record was last updated on Dec 5, 2025.