Healthcare Provider Details

I. General information

NPI: 1245107192
Provider Name (Legal Business Name): SHELBY WOMEN HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2025
Last Update Date: 10/23/2025
Certification Date: 10/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3331 TOLEDO TER STE 106
HYATTSVILLE MD
20782-8156
US

IV. Provider business mailing address

3331 TOLEDO TER STE 106
HYATTSVILLE MD
20782-8156
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number
License Number State

VIII. Authorized Official

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