Healthcare Provider Details

I. General information

NPI: 1033798509
Provider Name (Legal Business Name): ROBERT MAX SCHRANZE DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2021
Last Update Date: 02/24/2026
Certification Date: 02/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8101 HINSON FARM RD STE 311
ALEXANDRIA VA
22306-3408
US

IV. Provider business mailing address

8101 HINSON FARM RD STE 311
ALEXANDRIA VA
22306-3408
US

V. Phone/Fax

Practice location:
  • Phone: 571-472-7355
  • Fax: 571-472-7356
Mailing address:
  • Phone: 571-472-7355
  • Fax: 571-472-7356

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number325626
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number0102209250
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number325626
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: