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

Shady Grove Radiological Consultants PA

Organization Nuclear Imaging & Therapy Physician · NPI 1639122039

Shady Grove Radiological Consultants PA is a Nuclear Imaging & Therapy Physician in Germantown, Maryland. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
8
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

20410 Observation Dr Ste 104
Germantown, MD 20876-4000
Phone: (301) 948-5700
Fax: (301) 212-4277
Show map & directions

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

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X
Nuclear Imaging & Therapy Physician Taxonomy 207UN0902X
Body Imaging Physician Taxonomy 2085B0100X
Neuroradiology Physician Taxonomy 2085N0700X
Nuclear Radiology Physician Taxonomy 2085N0904X
Pediatric Radiology Physician Taxonomy 2085P0229X
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X
Diagnostic Ultrasound Physician Taxonomy 2085U0001X

Record details

NPI number1639122039
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Larry Busching — Chief Operating Officer · (301) 948-5700
Other names Shady Grove Radiology
NPI enumeratedMay 18, 2006
Last updated in NPPESAugust 25, 2009
Mailing address20410 Observation Dr, Suite 104, Germantown, MD 20876-4000