Provider Demographics
NPI:1265671465
Name:DADGAR, SHABNAM (MD)
Entity type:Individual
Prefix:DR
First Name:SHABNAM
Middle Name:
Last Name:DADGAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10810 DARNESTOWN RD STE 202
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20878-2601
Mailing Address - Country:US
Mailing Address - Phone:240-912-4546
Mailing Address - Fax:240-912-4471
Practice Address - Street 1:10810 DARNESTOWN RD STE 202
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20878-2601
Practice Address - Country:US
Practice Address - Phone:240-912-4546
Practice Address - Fax:240-912-4471
Is Sole Proprietor?:No
Enumeration Date:2009-02-11
Last Update Date:2025-12-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD72779207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology