Shriya Airen, MD

Individual provider Active NPI Otolaryngology Physician · Bethlehem, PA

NPI 1003530718 · NPPES record last updated Jun 20, 2023

Key facts

NPI
1003530718
Entity type
Individual (NPI type 1)
Primary specialty
Otolaryngology Physician 207Y00000X
License
MT229566 (PA)
Practice address
3445 High Point Blvd Ste 400
Bethlehem, PA 18017-7817
Phone
(484) 503-4005
NPI assigned
Sep 27, 2022
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20230630001807 PA Order and Referring Only - Otolaryngology
Practitioner - Otolaryngology
0840659355

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MT229566PAMDOtolaryngology Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X MT229566 PA Yes

Addresses

Primary practice location

3445 High Point Blvd Ste 400
Bethlehem, PA 18017-7817

Mailing address

3445 High Point Blvd Ste 400
Bethlehem, PA 18017-7817
Phone (484) 503-4005

Other identifiers

IdentifierTypeStateIssuer
7322213708OtherPHONE NUMBER

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address sxa868@miami.edu Direct

Other providers in Bethlehem, PA

All providers in Bethlehem, PA · Otolaryngology Physician in Pennsylvania

Sources for this page

Verify at the official NPI Registry.