Provider Demographics
NPI:1871869115
Name:SCHULMAN, DAVINA (MD, PHD)
Entity type:Individual
Prefix:
First Name:DAVINA
Middle Name:
Last Name:SCHULMAN
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 44TH ST
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95819-3728
Mailing Address - Country:US
Mailing Address - Phone:209-851-7335
Mailing Address - Fax:209-946-3458
Practice Address - Street 1:6505 S MANTHEY RD FL 3
Practice Address - Street 2:
Practice Address - City:FRENCH CAMP
Practice Address - State:CA
Practice Address - Zip Code:95231-9518
Practice Address - Country:US
Practice Address - Phone:209-851-7335
Practice Address - Fax:209-946-3458
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-30
Last Update Date:2024-10-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA129800207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology