Organization · Type 2 NPI

Shady Grove Dermatology

Specialist · Rockville, MD

NPI number 1790177210 Active

Practice location

15245 Shady Grove Rd, Suite 370
Rockville, MD 20850-3222

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XD0028453 (MD)
Medical Specialty Clinic/Center 261QM2500XNone listed

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.

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About NPI 1790177210

Shady Grove Dermatology's National Provider Identifier is 1790177210, issued on Feb 20, 2015. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Rockville, MD. The record was last updated on Mar 5, 2024.