Raena A Khorram (NPI# 1952669038, PAC ID# 4981907755) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1952669038 |
| PAC ID by PECOS | 4981907755 |
| Professional Enrollment ID | I20160719000914 |
| Full Name | Raena A Khorram |
| Organization Legal Name | MAIN LINE AFFILIATES |
| Address |
600 Abbott Dr Broomall PA 19008-4317 |
| Phone Number | 4844761800 |
| Gender | M |
| Graduation Year | 2012 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 3779479407 |
| Number of Group Practice Members | 26 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 600 Abbott Dr, Broomall, PA 19008-4317 | 4844761800 | MAIN LINE AFFILIATES |
| 255 W Lancaster Ave, Paoli, PA 19301-1763 | MAIN LINE HEALTHCARE |
| Organization Legal Name | MAIN LINE AFFILIATES |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karen E Pentz | Clinical Social Worker | Main Line Affiliates | 414 Paoli Pike, Malvern, PA 19355-3300 |
| Jennifer D Matzner | Clinical Social Worker | Main Line Affiliates | 414 Paoli Pike, Malvern, PA 19355-3300 |
| Leslie A Forsyth | Clinical Social Worker | Main Line Affiliates | 414 Paoli Pike, Malvern, PA 19355-3300 |
| Suzanne R Fisher | Clinical Social Worker | Main Line Affiliates | 414 Paoli Pike, Malvern, PA 19355-3300 |
| Kimberly M Morrison | Clinical Social Worker | Main Line Affiliates | 414 Paoli Pike, Malvern, PA 19355-3300 |
| Amanda S Smith | Clinical Social Worker | Main Line Affiliates | 414 Paoli Pike, Malvern, PA 19355-3300 |
| Street Address |
600 ABBOTT DR |
| City | BROOMALL |
| State | PA |
| Zip | 19008-4317 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah Nissen | Optometry | West Chester Optometry, P.C. | 2805 W Chester Pike PC, Broomall, PA 19008-1827 |
| Jimmy T Nguyen | Optometry | West Chester Optometry, P.C. | 2805 W Chester Pike PC, Broomall, PA 19008-1827 |
| Marc Jay Belitsky | Chiropractic | Marc Belitsky Dc PC | 2633 W Chester Pike, Broomall, PA 19008-1930 |
| Steven J Gallop | Optometry | 7 Davis Ave, Broomall, PA 19008-2103 | |
| Justin Daniel Ackerman | Chiropractic | Ackerman Chiropractic Services PC | 724 Cedar Grove Rd, Broomall, PA 19008-2219 |
| Michael S Ackerman | Chiropractic | Ackerman Chiropractic Services PC | 724 Cedar Grove Rd, Broomall, PA 19008-2219 |
| Joanne M Kaminski | Psychologist, Clinical | 200 Lawrence Rd, Suite 700, Broomall, PA 19008-3225 | |
| Ralph A Carrozza | Chiropractic | 200 Lawrence Rd, Suite 300, Broomall, PA 19008-3234 | |
| Joseph S Puleo Jr. | Psychologist, Clinical | 200 Lawrence Rd, Suite 900, Broomall, PA 19008-3235 | |
| Mark Bennet Kahn | Vascular Surgery | Prospect Health Access Network Inc | 30 Lawrence Rd, Broomall, PA 19008-3301 |
| Find all physicians in zip 19008 | |||
| City | BROOMALL |
| Zip Code | 19008 |
| Specialty | PSYCHIATRY |
| City + Specialty | BROOMALL + PSYCHIATRY |
Please comment or provide details below to improve the information on Raena A Khorram.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.