MEDICARE: MR. TOLANI ARE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1205457140
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. TOLANI ARE MD

Provider Business Mailing Address
First Line	:	500 S PRESTON ST RM 305
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40202-1702
Country	:	US
Telephone Number	:	502-852-8696
Fax Number	:

Provider Business Practice Location Address
First Line	:	2222 CHERRY ST STE 1100
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43608-2682
Country	:	US
Telephone Number	:	419-251-8050
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/01/2020
Last Update Date	:	03/24/2023

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