Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Shady Grove Family Health Care Inc

Organization Family Medicine Physician · NPI 1255414389

Shady Grove Family Health Care Inc provides Family Medicine Physician services in Rockville, Maryland. Licensed in Maryland. Registered with an NPI since 2006.

Licensed in
MD
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

14800 Physicians Ln #131
Rockville, MD 20850 Not confirmed with CMS for 18 years — call before visiting
Phone: (301) 251-9800
Fax: (301) 251-9802
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence D16065 (MD)

Record details

NPI number1255414389
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Socrates Fotiu — President · (301) 251-9800
NPI enumeratedOctober 23, 2006
Last updated in NPPESMay 21, 2008
Mailing address14800 Physicians Ln, 131, Rockville, MD 20850

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