Provider Demographics
NPI:1902245087
Name:DINARY, BUTHAYNA A (MD)
Entity Type:Individual
Prefix:
First Name:BUTHAYNA
Middle Name:A
Last Name:DINARY
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:PO BOX 451400
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-0637
Mailing Address - Country:US
Mailing Address - Phone:440-331-5962
Mailing Address - Fax:440-331-5914
Practice Address - Street 1:25200 CENTER RIDGE RD STE 2100
Practice Address - Street 2:
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-4146
Practice Address - Country:US
Practice Address - Phone:440-331-5962
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-21
Last Update Date:2022-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.122808207R00000X
OH57.019014207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine