| Dr Raniah Sherif Khairy, MD | |
|
1155 East Mountain Blvd., Wilkes-barre, PA 18702-3377 | |
| (570) 808-7916 | |
| (570) 808-6006 |
| Full Name | Dr Raniah Sherif Khairy |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology |
| Location | 1155 East Mountain Blvd., Wilkes-barre, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942447834 | NPI | - | NPPES |
| 166739 | Other | PA | MEDICARE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD 431141 (Pennsylvania) | Secondary |
| 207V00000X | Obstetrics & Gynecology | MD 431141 (Pennsylvania) | Primary |
| Entity Name | Keystone Rural Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538166905 PECOS PAC ID: 5496663312 Enrollment ID: O20040329000065 |
| Entity Name | Dlp Conemaugh Physician Practices Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932515905 PECOS PAC ID: 7315166949 Enrollment ID: O20140915002522 |
| Entity Name | Nason Physician Practices Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306236609 PECOS PAC ID: 5890012728 Enrollment ID: O20150402000491 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Raniah Sherif Khairy, MD 100 N Academy Ave, Danville, PA 17822-4903 Ph: (570) 271-6144 | Dr Raniah Sherif Khairy, MD 1155 East Mountain Blvd., Wilkes-barre, PA 18702-3377 Ph: (570) 808-7916 |
Louis Jay Freedman, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: Valley Medical Building, 3rd Floor, 1010 East Mountain Boulevard, Wilkes-barre, PA 18711 Phone: 570-288-4566 Fax: 570-270-5151 | |
Stacie Weil, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1155 East Mountain Blvd., Wilkes-barre, PA 18702 Phone: 570-808-7916 Fax: 570-808-6006 |