Healthcare Provider Details

I. General information

NPI: 1255785101
Provider Name (Legal Business Name): NINA SABZEVARI SCHRAM DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2016
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8401 CONNECTICUT AVE STE 210
CHEVY CHASE MD
20815-5837
US

IV. Provider business mailing address

PO BOX 23329
NEW YORK NY
10087-3329
US

V. Phone/Fax

Practice location:
  • Phone: 240-482-5555
  • Fax: 240-482-2556
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberH0090229
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: