Provider Demographics
NPI:1225267990
Name:SCHULMAN, DAVID D
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:D
Last Name:SCHULMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 LAREDO CT
Mailing Address - Street 2:SAN RAMON
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583-2116
Mailing Address - Country:US
Mailing Address - Phone:925-804-6582
Mailing Address - Fax:
Practice Address - Street 1:125 LAREDO CT
Practice Address - Street 2:SAN RAMON
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-2116
Practice Address - Country:US
Practice Address - Phone:925-804-6582
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-02
Last Update Date:2011-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program