# LINDA M DINERMAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1902887573
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0000X | Adolescent Medicine (Family Medicine) Physician | 24103 | AL | Yes |

## Other

- **Enumeration date:** 11/09/2005
- **Last updated:** 01/18/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0005005203 | AETNA | — |
| 01 | — | 51505321 | BLUE CROSS BLUE SHIELD | AL |
| 01 | — | 631284727 | TAX ID | — |