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SHADY GROVE MINIMALLY INVASIVE
NPI 1083974307
Specialist in Gaithersburg, MD

Active since May 21, 2012CLIA 21D2040539 · Microscopy
10810 DARNESTOWN RD STE 202, GAITHERSBURG, MD 20878(240) 912-4546(240) 912-4471 Get Directions Write a Review

NPPES record last updated: December 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shady Grove Minimally Invasive NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHADY GROVE MINIMALLY INVASIVE (NPI 1083974307) is a healthcare organization registered as a specialist in Gaithersburg, Maryland and active in the NPI registry since May 2012. The organization holds a CLIA Microscopy certificate valid through December 13, 2027 and lists Shabnam Dadgar, Owner, as its authorized official.

NPPES Registry Identity

NPI1083974307
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSHADY GROVE MINIMALLY INVASIVE
Location Address10810 DARNESTOWN RD STE 202Gaithersburg, MD 20878-2601
Mailing Address10810 Darnestown Rd Ste 202Gaithersburg, MD 20878-2601 · (240) 912-4546 · Fax (240) 912-4471
Phone(240) 912-4546
Fax(240) 912-4471
Organization SubpartNo
Authorized OfficialShabnam DadgarOwner · (703) 868-1235
Enumeration DateMay 21, 2012
Last NPPES UpdateDecember 24, 2025
NPPES CertifiedDecember 24, 2025
✔ NPI 1083974307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MD · D0072779
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
10810 DARNESTOWN RD STE 202, Gaithersburg, MD 20878
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Other Names 1

Other NameShabnam Dadgar

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 21D2040539

Shady Grove Minimally Invasive And Gynecology Care · Darnestown, MD
Active · expires Dec 13, 2027
CLIA Number21D2040539
Laboratory TypePhysician Office
Certificate Effective DateDecember 14, 2025
Certificate Expiration DateDecember 13, 2027
Laboratory DirectorShabnam Dadgar
Laboratory Phone(240) 912-4546
Laboratory LocationShady Grove Minimally Invasive And Gynecology Care10810 Darnestown Rd Ste 202, Darnestown, MD 20878
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHADY GROVE SURGERY CENTER LLC
Obstetrics & Gynecology
10810 DARNESTOWN RD STE 202
GAITHERSBURG, MD 20878
Montgomery County (240) 912-4546
DR. SHABNAM DADGAR M.D.
Obstetrics & Gynecology
10810 DARNESTOWN RD STE 202
GAITHERSBURG, MD 20878
Montgomery County (240) 912-4546
DR. MARK JEFFREY DAVIS M.D.
Family Medicine
10810 DARNESTOWN RD STE 202
NORTH POTOMAC, MD 20878
Montgomery County (301) 424-1780
MRS. GINETTE FLORE NDINGUE NP
Nurse Practitioner (Family)
10810 DARNESTOWN RD STE 202
GAITHERSBURG, MD 20878
Montgomery County (301) 424-1780

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shady Grove Minimally Invasive's NPI number?

The NPI number for Shady Grove Minimally Invasive is 1083974307. It was assigned to this organization in the NPPES registry on May 21, 2012. The provider is also known as Shabnam Dadgar.

Where is Shady Grove Minimally Invasive located?

Shady Grove Minimally Invasive is located at 10810 Darnestown Rd Ste 202, Gaithersburg, MD 20878. The listed phone number is (240) 912-4546.

What is Shady Grove Minimally Invasive's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Shady Grove Minimally Invasive hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 21D2040539) is associated with this NPI, valid through December 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Shady Grove Minimally Invasive was last updated on December 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.