Fawole, Taliat Abiodun

Fawole, Taliat Abiodun is an sole proprietor health care provider with primary practice located at 7901 Broadway , Elmhurst NY 11373-1329. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Fawole, Taliat Abiodun can be contacted via phone (718) 334-3542.

Contact Information

Primary practice address
7901 Broadway Elmhurst NY 11373-1329
Phone: (718) 334-3542
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 33663 Nebraska
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 01097670A Indiana
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X FF6061092 Texas
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X FF6066383 Indiana
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X FF6066383 Indiana
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X W0805 Texas
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 33663 Nebraska

Profile Details

NPI number 1255795886
LBN Legal business name Fawole, Taliat Abiodun
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 9th, 2016
Last updated Apr 24th, 2026 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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