Provider Demographics
NPI:1255785101
Name:SCHRAM, NINA SABZEVARI (DO)
Entity type:Individual
Prefix:
First Name:NINA
Middle Name:SABZEVARI
Last Name:SCHRAM
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8401 CONNECTICUT AVE STE 210
Mailing Address - Street 2:
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-5837
Mailing Address - Country:US
Mailing Address - Phone:240-482-5555
Mailing Address - Fax:240-482-2556
Practice Address - Street 1:8401 CONNECTICUT AVE STE 210
Practice Address - Street 2:
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-5837
Practice Address - Country:US
Practice Address - Phone:240-482-5555
Practice Address - Fax:240-482-2556
Is Sole Proprietor?:No
Enumeration Date:2016-04-18
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
MDH0090229207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program