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

Shady Grove Minimally Invasive

Organization Specialist · NPI 1083974307

Shady Grove Minimally Invasive is a Specialist in Gaithersburg, Maryland. Licensed in Maryland. Registered with an NPI since 2012.

Licensed in
MD
In the registry since
2012

Practice location Address checks out

10810 Darnestown Rd Ste 202
Gaithersburg, MD 20878-2601
Phone: (240) 912-4546
Fax: (240) 912-4471
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence D0072779 (MD)

Record details

NPI number1083974307
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shabnam Dadgar — Owner · (703) 868-1235
Other names Shabnam Dadgar
NPI enumeratedMay 21, 2012
Last updated in NPPESDecember 24, 2025
Certification dateDecember 24, 2025
Mailing address10810 Darnestown Rd Ste 202, Gaithersburg, MD 20878-2601

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