Shady Grove Dermatology, Llc

LBN: Shady Grove Dermatology
Shady Grove Dermatology, Llc is an health care organization with primary practice located at 15245 Shady Grove Rd Suite 370, Rockville MD 20850-3222. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Ambulatory Health Care Facilities / Medical Specialty. Other Service Providers / Specialist is the primary health care specialty. Shady Grove Dermatology can be contacted via phone (240) 246-7417, or through Davidson, Sandee Hall via phone (240) 246-7417.

Contact Information

Primary practice address
15245 Shady Grove Rd Suite 370 Rockville MD 20850-3222
Phone: (240) 246-7417
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Davidson, Sandee Hall
Phone: (240) 246-7417

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X D0028453 Maryland
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X

Profile Details

NPI number 1790177210
LBN Legal business name Shady Grove Dermatology
DBA Doing business as Shady Grove Dermatology, Llc
Authorized official Davidson, Sandee Hall
Entity Organization
Organization subpart 1 No
Enumeration date Feb 20th, 2015
Last updated Mar 5th, 2024 - about 9 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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