Provider Demographics
NPI:1245107192
Name:SHELBY WOMEN HEALTH LLC
Entity type:Organization
Organization Name:SHELBY WOMEN HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLER
Authorized Official - Prefix:
Authorized Official - First Name:ZAIDA
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-982-9333
Mailing Address - Street 1:3331 TOLEDO TER STE 106
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20782-8156
Mailing Address - Country:US
Mailing Address - Phone:301-982-9333
Mailing Address - Fax:
Practice Address - Street 1:3331 TOLEDO TER STE 106
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20782-8156
Practice Address - Country:US
Practice Address - Phone:301-982-9333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-23
Last Update Date:2025-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty