Provider Demographics
NPI:1538371752
Name:DINARTE, BETTY HADJI MOMENIAN (MD)
Entity type:Individual
Prefix:
First Name:BETTY
Middle Name:HADJI MOMENIAN
Last Name:DINARTE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:BETTY
Other - Middle Name:HADJI
Other - Last Name:MOMENIAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:24510 BURNT HILL RD
Mailing Address - Street 2:
Mailing Address - City:CLARKSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20871-9236
Mailing Address - Country:US
Mailing Address - Phone:202-679-7376
Mailing Address - Fax:
Practice Address - Street 1:6644 E BAYWOOD AVENUE
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85206
Practice Address - Country:US
Practice Address - Phone:480-981-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT184034207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAMT184034OtherMD LICENSE