| Dr Soorena Khojasteh, MD | |
|
100 E Lancaster Ave Ste 261, Wynnewood, PA 19096-3450 | |
| (610) 658-1928 | |
| (484) 572-0482 |
| Full Name | Dr Soorena Khojasteh |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 18 Years |
| Location | 100 E Lancaster Ave Ste 261, Wynnewood, Pennsylvania |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508022179 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207LP2900X | Anesthesiology - Pain Medicine | MD439502 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bryn Mawr Hospital | Bryn mawr, PA | Hospital |
| Main Line Hospital Lankenau | Wynnewood, PA | Hospital |
| Riddle Memorial Hospital | Media, PA | Hospital |
| Paoli Hospital | Paoli, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Main Line Healthcare | 1951215201 | 1029 |
| Entity Name | United Anesthesia Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053366062 PECOS PAC ID: 3173437613 Enrollment ID: O20031118000620 |
| Entity Name | Main Line Healthcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922077643 PECOS PAC ID: 1951215201 Enrollment ID: O20040308000373 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Soorena Khojasteh, MD 100 E Lancaster Ave Ste 261, Wynnewood, PA 19096-3450 Ph: (610) 658-1928 | Dr Soorena Khojasteh, MD 100 E Lancaster Ave Ste 261, Wynnewood, PA 19096-3450 Ph: (610) 658-1928 |
Dr. Jerry M Gonzales, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 100 E Lancaster Ave, Wynnewood, PA 19096 Phone: 610-645-2000 Fax: 517-787-2922 | |
Dr. Ezekiel B Tayler, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 100 E Lancaster Ave, Wynnewood, PA 19096 Phone: 484-476-1000 Fax: 484-476-9000 | |
Harry A Seifert, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 428 Holly Ln, Wynnewood, PA 19096 Phone: 610-716-3077 | |
Dr. Shyla K Banvi, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 100 Lancaster Ave, Bryn Mawr Hospital Anesthesia Dept., Wynnewood, PA 19096 Phone: 610-645-2000 | |
Dr. Jonathan Anthony Vu, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 100 E Lancaster Ave, Suite 53 Mob East, Wynnewood, PA 19096 Phone: 610-658-1928 | |
Dr. Arathi Sambasivan, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 100 E Lancaster Ave, Wynnewood, PA 19096 Phone: 610-645-2283 |