Basic Information
Provider Information
NPI: 1285706002
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DOLNIK
FirstName: MARKETA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: HECHT
OtherFirstName: MARKETA
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 1
Mailing Information
Address1: 1800 HARRISON ST FL 7
Address2:  
City: OAKLAND
State: CA
PostalCode: 946123429
CountryCode: US
TelephoneNumber: 5106256262
FaxNumber:  
Practice Location
Address1: 280 W MACARTHUR BLVD
Address2:  
City: OAKLAND
State: CA
PostalCode: 946115642
CountryCode: US
TelephoneNumber: 5107521000
FaxNumber:  
Other Information
ProviderEnumerationDate: 11/15/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0200XA70731CAY Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine

No ID Information.


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