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Contact Information

SHADY GROVE RADIOLOGICAL CONSULTANTS PA
20410 OBSERVATION DR
SUITE 104
GERMANTOWN, MD20876-4000
 Phone: 301-948-5700
 Fax: 301-212-4277
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Body Imaging

2085B0100X
 

Diagnostic Ultrasound

2085U0001X
 

Neuroradiology

2085N0700X
 

Nuclear Imaging & Therapy

207UN0902X 36 Physician/Nuclear Medicine
 

Nuclear Radiology

2085N0904X
 

Pediatric Radiology

2085P0229X
 

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
Indicates primary specialty

NPI Profile & details for SHADY GROVE RADIOLOGICAL CONSULTANTS PA · (Female)

NPI # 1639122039
Status Active
Credentials
Entity Individual
Enumeration date 05/18/2006
Last updated 08/25/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • MD Medicaid 979151500
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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