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

Shady Grove Podiatry LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1093859720

Shady Grove Podiatry LLC is a Durable Medical Equipment & Medical Supplies in Gaithersburg, Maryland. Licensed in Maryland. Registered with an NPI since 2007.

Licensed in
MD
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

16220 S Frederick Ave Ste 200
Gaithersburg, MD 20877-4039
Phone: (301) 948-2995
Fax: (301) 948-6056
Show map & directions

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

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X (MD)

Record details

NPI number1093859720
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Katherine Diggins — Office Manager · (301) 948-2995
NPI enumeratedFebruary 16, 2007
Last updated in NPPESJuly 1, 2009
Mailing address16220 S Frederick Ave, Suite 200, Gaithersburg, MD 20877-4039

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