Provider Demographics
NPI:1598966319
Name:MINAI, BEENA A (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:BEENA
Middle Name:A
Last Name:MINAI
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:614 CLINTON LN
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44143-1961
Mailing Address - Country:US
Mailing Address - Phone:440-446-1355
Mailing Address - Fax:
Practice Address - Street 1:3690 ORANGE PL
Practice Address - Street 2:230
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-4464
Practice Address - Country:US
Practice Address - Phone:216-765-1180
Practice Address - Fax:216-765-1163
Is Sole Proprietor?:No
Enumeration Date:2007-05-30
Last Update Date:2010-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH11304225480578.23207Q00000X
OH35.093302207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH341939070029OtherCARESOURCE
OH341939070029OtherCARESOURCE