MEDICARE: VALERIE TERESA SCHRAM MD

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
1	207R00000X	Internal Medicine Physician	6539	NV

General Provider Information

NPI Number	:	1477504819
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VALERIE TERESA SCHRAM MD

Provider Business Mailing Address
First Line	:	901 RANCHO LN STE 210
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89106-3818
Country	:	US
Telephone Number	:	702-636-3076
Fax Number	:	702-636-4005

Provider Business Practice Location Address
First Line	:	901 RANCHO LN
Second Line	:	SUITE 290
City	:	LAS VEGAS
State	:	NV
Zip	:	89106-3836
Country	:	US
Telephone Number	:	702-636-6370
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/12/2006
Last Update Date	:	07/11/2007

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