Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Family Medicine Shady Grove

Organization Family Medicine Physician · NPI 1588093371

Family Medicine Shady Grove is a Family Medicine Physician in Rockville, Maryland. Licensed in Maryland. Registered with an NPI since 2013.

Licensed in
MD
In the registry since
2013

Practice location Address checks out

15215 Shady Grove Rd Ste 304
Rockville, MD 20850-0200
Phone: (301) 284-8990
Fax: (301) 569-4293
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence D0073851 (MD)

Record details

NPI number1588093371
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Manisha Kalra — Physician · (301) 284-8990
Other names Family Medicine Shady Grove, Llc
NPI enumeratedNovember 2, 2013
Last updated in NPPESApril 21, 2014
Mailing address15215 Shady Grove Rd Ste 304, Rockville, MD 20850-0200

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