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NPI Code Detail

MEDICARE: DAVINA SCHULMAN M.D., PH.D.

MEDICARE:   DAVINA  SCHULMAN  M.D., PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207N00000XDermatology Physician129800CA

General Provider Information

NPI Number : 1871869115
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVINA SCHULMAN M.D., PH.D.
Provider Business Mailing Address
First Line : 1001 44TH ST
Second Line :
City : SACRAMENTO
State : CA
Zip : 95819-3728
Country : US
Telephone Number : 209-851-7335
Fax Number : 209-946-3458
Provider Business Practice Location Address
First Line : 6505 S MANTHEY RD FL 3
Second Line :
City : FRENCH CAMP
State : CA
Zip : 95231-9518
Country : US
Telephone Number : 209-851-7335
Fax Number : 209-946-3458
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2012
Last Update Date : 10/19/2024

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