Individual
MARIATHEA V DOLAR
Active
Individual
MARIATHEA V DOLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
01056827
IN
2085R0202X
Diagnostic Radiology Physician
Primary
01056827
IN
2085R0204X
Vascular & Interventional Radiology Physician
01056827
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200410830
—
IN
01
—
P00099706
RAILROAD MEDICARE
IN
Enumeration date
06/04/2006
Last updated
01/25/2021
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