Provider Demographics
NPI:1477967958
Name:DINERMAN BIN-NUN, ELLEN (MD)
Entity Type:Individual
Prefix:
First Name:ELLEN
Middle Name:
Last Name:DINERMAN BIN-NUN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5649 BEACON ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15217-2011
Mailing Address - Country:US
Mailing Address - Phone:347-385-3334
Mailing Address - Fax:415-520-0904
Practice Address - Street 1:1501 M ST NW STE 450
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20005-1726
Practice Address - Country:US
Practice Address - Phone:202-204-7092
Practice Address - Fax:202-660-0025
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-12
Last Update Date:2021-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA260779207R00000X
PA475210207R00000X
DCMD045587207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty