Basic Information
| Provider Information | |||||||||
| NPI: | 1487613485 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ALBAINY | ||||||||
| FirstName: | DONALD | ||||||||
| MiddleName: | B | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 789 WHITE POND DRIVE | ||||||||
| Address2: | SUITE A | ||||||||
| City: | AKRON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 44320 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3308351934 | ||||||||
| FaxNumber: | 3308351937 | ||||||||
| Practice Location | |||||||||
| Address1: | 789 WHITE POND DRIVE | ||||||||
| Address2: | SUITE A | ||||||||
| City: | AKRON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 44320 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3308351934 | ||||||||
| FaxNumber: | 3308351937 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/20/2006 | ||||||||
| LastUpdateDate: | 12/30/2011 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 35-05-9525 | OH | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
ID Information
| ID | Type | State | Issuer | Description | 0891316 | 05 | OH | MEDICAID | 0714515 | 01 | OH | MEDICARE ID | OTHER | 7298361 | 01 | OH | MEDICARE ID | OTHER |