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

Shady Grove Family Health Care Inc

Organization Family Medicine Physician · NPI 1255414389

Shady Grove Family Health Care Inc is a Family Medicine Physician in Rockville, Maryland. Licensed in Maryland. Registered with an NPI since 2006.

Licensed in
MD
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

14800 Physicians Ln #131
Rockville, MD 20850
Phone: (301) 251-9800
Fax: (301) 251-9802
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence D16065 (MD)

Record details

NPI number1255414389
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Socrates Fotiu — President · (301) 251-9800
NPI enumeratedOctober 23, 2006
Last updated in NPPESMay 21, 2008
Mailing address14800 Physicians Ln, 131, Rockville, MD 20850

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