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Individual

DR. RANIAH SHERIF KHAIRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1155 EAST MOUNTAIN BLVD., WILKES-BARRE, PA 18702-3377
(570) 808-7916
(570) 808-6006
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD 431141
PA
207V00000X
Obstetrics & Gynecology Physician
Primary
MD 431141
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
166739
MEDICARE NUMBER
PA
Enumeration date
01/14/2009
Last updated
12/09/2015
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