Provider Demographics
NPI:1295022515
Name:TOLAYMAT, ABDULLAH (MD)
Entity Type:Individual
Prefix:DR
First Name:ABDULLAH
Middle Name:
Last Name:TOLAYMAT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 JOLIET ST STE 201
Mailing Address - Street 2:
Mailing Address - City:DYER
Mailing Address - State:IN
Mailing Address - Zip Code:46311-1995
Mailing Address - Country:US
Mailing Address - Phone:219-836-2096
Mailing Address - Fax:219-319-0647
Practice Address - Street 1:2111 NORTHWINDS DR
Practice Address - Street 2:
Practice Address - City:DYER
Practice Address - State:IN
Practice Address - Zip Code:46311-1882
Practice Address - Country:US
Practice Address - Phone:219-836-2096
Practice Address - Fax:219-319-0647
Is Sole Proprietor?:No
Enumeration Date:2011-07-07
Last Update Date:2021-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01085528A2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology