Shady Grove Minimally Invasive
NPI 1083974307ActiveOrganization· Specialist· Gaithersburg, MD
Specialist in Gaithersburg, Maryland, registered in NPPES in May 2012. The authorized official on file is Shabnam Dadgar, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1083974307 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 21, 2012 |
| Last updated in NPPES | Dec 24, 2025 |
| Certified by provider | Dec 24, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | D0072779 | MD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (DC) |
|---|
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