Individual
SHADI M TOLAYMAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
M0592
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
189288706
—
TX
01
—
555597YR99
MEDICARE
TX
01
—
8GN244
BCBS
TX
Enumeration date
05/18/2007
Last updated
07/21/2022
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