Individual
AYOOLA K GOMIH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
398 W 80TH PL, MERRILLVILLE, IN 46410-5432
(219) 791-0615
(219) 791-0619
Mailing address
398 W 80TH PL, MERRILLVILLE, IN 46410-5432
(219) 791-0615
(219) 791-0619
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
01032453B
IN
208800000X
Urology Physician
Primary
01032453B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100169870A
—
IN
Enumeration date
07/18/2006
Last updated
01/23/2025
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