Healthcare Provider Details

I. General information

NPI: 1679833164
Provider Name (Legal Business Name): ALAIN DIN DIN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2012
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7600 MAPLE AVE APT 1409
TAKOMA PARK MD
20912-5571
US

IV. Provider business mailing address

7600 MAPLE AVE APT 1409
TAKOMA PARK MD
20912-5571
US

V. Phone/Fax

Practice location:
  • Phone: 240-478-3851
  • Fax:
Mailing address:
  • Phone: 240-478-3851
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License NumberD-500-040-081-574
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: