MEDICARE: BEATRIZ DINH MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	E-18380	AR
2	174400000X	Specialist	R-11998	IA

General Provider Information

NPI Number	:	1649897687
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BEATRIZ DINH MD

Provider Business Mailing Address
First Line	:	PO BOX 776084
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60677-6084
Country	:	US
Telephone Number	:	479-347-3812
Fax Number	:	479-338-3749

Provider Business Practice Location Address
First Line	:	4600 MERCY LN STE 240
Second Line	:
City	:	SPRINGDALE
State	:	AR
Zip	:	72762-3070
Country	:	US
Telephone Number	:	479-347-3812
Fax Number	:	479-338-3749

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/25/2020
Last Update Date	:	01/15/2026

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