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

Shady Grove Surgery Center LLC

Organization Obstetrics & Gynecology Physician · NPI 1194222620

Shady Grove Surgery Center LLC is an Obstetrics & Gynecology Physician in Gaithersburg, Maryland. Registered with an NPI since 2018.

In the registry since
2018
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

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

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X

Record details

NPI number1194222620
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shabnam Dadgar — Md · (240) 912-4546
NPI enumeratedApril 11, 2018
Last updated in NPPESDecember 5, 2025
Certification dateDecember 5, 2025
Mailing address10810 Darnestown Rd Ste 202, Gaithersburg, MD 20878-2601

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