Healthcare Provider Details

I. General information

NPI: 1306182233
Provider Name (Legal Business Name): SHELBY WOMEN HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2012
Last Update Date: 10/17/2025
Certification Date: 10/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8957 EDMONSTON RD STE K
GREENBELT MD
20770-4046
US

IV. Provider business mailing address

8957 EDMONSTON RD K
GREENBELT MD
20770-1005
US

V. Phone/Fax

Practice location:
  • Phone: 301-982-9333
  • Fax: 301-441-3672
Mailing address:
  • Phone: 301-982-9333
  • Fax: 301-441-3672

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2085U0001X
TaxonomyDiagnostic Ultrasound Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code246RM2200X
TaxonomyMedical Laboratory Technician
License Number
License Number State

VIII. Authorized Official

Name: ZAIDA GARCIA
Title or Position: BILLER
Credential:
Phone: 301-982-9333