Provider Demographics
NPI:1083212765
Name:ALAYAN, DINA
Entity Type:Individual
Prefix:
First Name:DINA
Middle Name:
Last Name:ALAYAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:257 CROCKER PARK BLVD APT 307
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-8107
Mailing Address - Country:US
Mailing Address - Phone:571-232-7127
Mailing Address - Fax:
Practice Address - Street 1:FAIRVIEW HOSPITAL
Practice Address - Street 2:18101 LORAIN AVE
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44111
Practice Address - Country:US
Practice Address - Phone:216-476-7000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-14
Last Update Date:2020-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH57249958207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine