Provider Demographics
NPI:1780062844
Name:MALTER, DAWN SMILEK (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:DAWN
Middle Name:SMILEK
Last Name:MALTER
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:DR
Other - First Name:DAWN
Other - Middle Name:ELAINE
Other - Last Name:SMILEK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD, PHD
Mailing Address - Street 1:185 BERRY ST STE 3515
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94107-1736
Mailing Address - Country:US
Mailing Address - Phone:415-353-4308
Mailing Address - Fax:
Practice Address - Street 1:185 BERRY ST STE 3515
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94107-1736
Practice Address - Country:US
Practice Address - Phone:415-353-4308
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-09
Last Update Date:2015-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG60462207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine