Basic Information
| Provider Information | |||||||||
| NPI: | 1083212765 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ALAYAN | ||||||||
| FirstName: | DINA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 257 CROCKER PARK BLVD APT 307 | ||||||||
| Address2: | |||||||||
| City: | WESTLAKE | ||||||||
| State: | OH | ||||||||
| PostalCode: | 441458107 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5712327127 | ||||||||
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| Practice Location | |||||||||
| Address1: | FAIRVIEW HOSPITAL | ||||||||
| Address2: | 18101 LORAIN AVE | ||||||||
| City: | CLEVELAND | ||||||||
| State: | OH | ||||||||
| PostalCode: | 44111 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2164767000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/14/2020 | ||||||||
| LastUpdateDate: | 10/14/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 10/11/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 57249958 | OH | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.