Healthcare Provider Details

I. General information

NPI: 1568232734
Provider Name (Legal Business Name): SHELBY WOMEN HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2024
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
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 STE K
GREENBELT MD
20770-4046
US

V. Phone/Fax

Practice location:
  • Phone: 301-982-9333
  • Fax: 301-441-3672
Mailing address:
  • Phone: 301-767-7147
  • Fax: 301-441-3672

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: KARLA ESTRADA
Title or Position: LAB ADMINSTRATOR
Credential:
Phone: 301-767-7147