Shady Grove Minimally Invasive

Primary specialty

SpecialistTaxonomy code 174400000X

License

D0072779 Issued in MD

Legal business name

SHADY GROVE MINIMALLY INVASIVE

Practice address

10810 Darnestown Rd Ste 202
Gaithersburg, MD 20878-2601

Phone

(240) 912-4546

Fax

(240) 912-4471

NPI assigned

May 21, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Shabnam Dadgar, MDNPI 1265671465

Title

Owner

Phone

(703) 868-1235

Specialties & licenses 1

Addresses

Other names 1

• Shabnam Dadgar Other name

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shabnam Dadgar, M.D.

  • Obstetrics & Gynecology Physician
  • Gaithersburg, MD
  • NPI 1265671465

  DC

  Medicare reassignment NPD Authorized official
• Seyed Razi Dadgar

  • Surgical Technologist
  • Rockville, MD
  • NPI 1144630476
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766534400000",
    "number": "1083974307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10810 DARNESTOWN RD STE 202",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208782601",
            "telephone_number": "240-912-4546",
            "fax_number": "240-912-4471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10810 DARNESTOWN RD STE 202",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208782601",
            "telephone_number": "240-912-4546",
            "fax_number": "240-912-4471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHADY GROVE MINIMALLY INVASIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-21",
        "last_updated": "2025-12-24",
        "certification_date": "2025-12-24",
        "status": "A",
        "authorized_official_last_name": "DADGAR",
        "authorized_official_first_name": "SHABNAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-868-1235",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0072779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shabnam Dadgar",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Margo I Sessa, SLP
• Anahita Seyedan
• Francheska Seymour, LMSW
• SGR Wellness LLC
• Shady Grove Ambulatory Surgery Center,LLC
• Shady Grove Modern Dental PC
• Shady Grove Physical Therapy & Rehab Center, LLC
• Shady Grove Podiatry LLC
• Shady Grove Podiatry, LLC
• Shady Grove Surgery Center LLC

• Specialist in Gaithersburg, MD
• Providers in Gaithersburg, MD by specialty
• Specialist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.