Provider Demographics
NPI:1255836573
Name:ALAWNEH, DIALA KHALDOON (MBBS)
Entity Type:Individual
Prefix:
First Name:DIALA
Middle Name:KHALDOON
Last Name:ALAWNEH
Suffix:
Gender:F
Credentials:MBBS
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 100221
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32610-0221
Mailing Address - Country:US
Mailing Address - Phone:352-392-8601
Mailing Address - Fax:352-627-4179
Practice Address - Street 1:1600 SW ARCHER RD
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32610-4356
Practice Address - Country:US
Practice Address - Phone:352-392-8601
Practice Address - Fax:352-627-4179
Is Sole Proprietor?:No
Enumeration Date:2018-03-28
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.156116207R00000X, 208M00000X
FLME164342207RR0500X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program