Healthcare Provider Details

I. General information

NPI: 1205457140
Provider Name (Legal Business Name): TOLANI ARE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: TOLANI AHMED ARE MD

II. Dates (important events)

Enumeration Date: 05/01/2020
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4011 GATEWAY BLVD
NEWBURGH IN
47630-8947
US

IV. Provider business mailing address

500 S PRESTON ST RM 305
LOUISVILLE KY
40202-1702
US

V. Phone/Fax

Practice location:
  • Phone: 812-842-2000
  • Fax:
Mailing address:
  • Phone: 502-852-8696
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number01100156A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: