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Individual

DR. PHILIPP DINES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106
(216) 844-2400
Mailing address
3605 WARRENSVILLE CENTER ROAD, 1ST FLOOR, SHAKER HTS, OH 44122
(216) 286-6260
(216) 286-6341

Taxonomy

Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
35052584
OH
2084P0800X
Psychiatry Physician
35 052584
OH
2084P0805X
Geriatric Psychiatry Physician
Primary
35052584
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000221181
UNISON
OH
01
000000503631
ANTHEM
OH
05
0771928
OH
01
363483
WELLCARE MEDICAID
OH
01
4313191
AETNA
OH
01
P00385106
RAILROAD MEDICARE
OH
Enumeration date
02/03/2006
Last updated
12/07/2020
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