Provider Demographics
NPI:1023003084
Name:SCHANZER, HARRIET (MD)
Entity Type:Individual
Prefix:MRS
First Name:HARRIET
Middle Name:
Last Name:SCHANZER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6439 IRON BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23234-5205
Mailing Address - Country:US
Mailing Address - Phone:804-271-8990
Mailing Address - Fax:804-271-9020
Practice Address - Street 1:6439 IRON BRIDGE RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23234-5205
Practice Address - Country:US
Practice Address - Phone:804-271-8990
Practice Address - Fax:804-271-9020
Is Sole Proprietor?:No
Enumeration Date:2005-09-15
Last Update Date:2008-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101039347207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA005609828Medicaid
080063570Medicare PIN
VA005609828Medicaid
VA080004723Medicare PIN