Provider Demographics
NPI:1841452489
Name:DOLINER, MARINA (MD)
Entity type:Individual
Prefix:DR
First Name:MARINA
Middle Name:
Last Name:DOLINER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 COLVILLE ST
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37405-2815
Mailing Address - Country:US
Mailing Address - Phone:847-687-3118
Mailing Address - Fax:888-960-9249
Practice Address - Street 1:401 COLVILLE ST
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37405-2815
Practice Address - Country:US
Practice Address - Phone:847-687-3118
Practice Address - Fax:888-960-9249
Is Sole Proprietor?:No
Enumeration Date:2008-06-25
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1338542085P0229X
TN518162085P0229X
IL0361293592085R0202X, 2085P0229X
IL125052939208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085P0229XAllopathic & Osteopathic PhysiciansRadiologyPediatric Radiology
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No208600000XAllopathic & Osteopathic PhysiciansSurgery