Provider Demographics
NPI:1225010267
Name:KAREIVA, ONA M (MD)
Entity Type:Individual
Prefix:DR
First Name:ONA
Middle Name:M
Last Name:KAREIVA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 824639
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19182-4639
Mailing Address - Country:US
Mailing Address - Phone:888-709-3107
Mailing Address - Fax:302-733-0854
Practice Address - Street 1:219 S WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:MD
Practice Address - Zip Code:21601-2913
Practice Address - Country:US
Practice Address - Phone:410-822-1000
Practice Address - Fax:410-819-0712
Is Sole Proprietor?:No
Enumeration Date:2005-11-16
Last Update Date:2013-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0058323207L00000X
AZ26490207L00000X
CAA71254207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD050084929OtherRAILROAD MEDICARE PTAN
MD699479200Medicaid
MDS125C906Medicare PIN
MD050084929OtherRAILROAD MEDICARE PTAN