Provider Demographics
NPI:1952669038
Name:KHORRAM, RAENA AKBARI (MD)
Entity Type:Individual
Prefix:DR
First Name:RAENA
Middle Name:AKBARI
Last Name:KHORRAM
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:130 S BRYN MAWR AVE
Mailing Address - Street 2:PSYCHIATRIC UNIT 1ST FLOOR
Mailing Address - City:BRYN MAWR
Mailing Address - State:PA
Mailing Address - Zip Code:19010-3121
Mailing Address - Country:US
Mailing Address - Phone:484-337-4286
Mailing Address - Fax:484-337-4293
Practice Address - Street 1:130 S BRYN MAWR AVE
Practice Address - Street 2:PSYCHIATRIC UNIT 1ST FLOOR
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010-3121
Practice Address - Country:US
Practice Address - Phone:484-337-4286
Practice Address - Fax:484-337-4293
Is Sole Proprietor?:No
Enumeration Date:2012-04-26
Last Update Date:2016-08-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD4581082084P0800X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry