Healthcare Provider Details

I. General information

NPI: 1932841996
Provider Name (Legal Business Name): DYNELL HASSAN PINDER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2022
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2050 E 96TH ST
CLEVELAND OH
44106-2970
US

IV. Provider business mailing address

11325 SEAVIEW AVE APT 6D
BROOKLYN NY
11239-2602
US

V. Phone/Fax

Practice location:
  • Phone: 216-444-5600
  • Fax:
Mailing address:
  • Phone: 134-796-8359
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number35.153470
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number35.153470
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number337227
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: