Provider Demographics
NPI:1881078319
Name:MINA, ALAIN (MD)
Entity type:Individual
Prefix:
First Name:ALAIN
Middle Name:
Last Name:MINA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2144 CALIFORNIA ST NW APT 312
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20008-1820
Mailing Address - Country:US
Mailing Address - Phone:816-266-7564
Mailing Address - Fax:
Practice Address - Street 1:NIH CLINICAL CENTER 10 CENTER DRIVE OFFICE 6N119
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20892-1288
Practice Address - Country:US
Practice Address - Phone:240-858-7625
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-14
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS9408775390200000X
CAA171866207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program