Healthcare Provider Details

I. General information

NPI: 1417926171
Provider Name (Legal Business Name): GABOR L TOLNAY MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

319 PINETREE LN
RICHMOND IN
47374
US

IV. Provider business mailing address

319 PINETREE LN
RICHMOND IN
47374
US

V. Phone/Fax

Practice location:
  • Phone: 765-966-4399
  • Fax:
Mailing address:
  • Phone: 765-966-4399
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0105X
TaxonomyClinical Pathology/Laboratory Medicine Physician
License Number01027181A
License Number StateIN

VIII. Authorized Official

Name: GABOR L TOLNAY
Title or Position: PRESIDENT
Credential: MD
Phone: 765-966-4399