Healthcare Provider Details

I. General information

NPI: 1629438874
Provider Name (Legal Business Name): DAVID SCHECHTMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/01/2016
Last Update Date: 08/13/2024
Certification Date: 08/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8901 ROCKVILLE PIKE BLDG 9
BETHESDA MD
20889-5856
US

IV. Provider business mailing address

1500 E MEDICAL CENTER DRIVE 5346 CVC, SPC 5867
ANN ARBOR MI
48109-5867
US

V. Phone/Fax

Practice location:
  • Phone: 301-295-4479
  • Fax:
Mailing address:
  • Phone: 734-647-9867
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number19352
License Number StateHI
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number19352
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: