Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Taliat Abiodun Fawole, MD

Individual provider Psychiatry Physician · NPI 1255795886

Dr. Taliat Abiodun Fawole, MD is a Psychiatry in Elmhurst, New York. Qualified in 2005, 21 years ago. Practices with Franciscan Physician Network, a 1,171-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Indiana, Nebraska and Texas.

Years since qualifying
21
Licensed in
IN, NE, TX
In the registry since
2016
Specialties on file
7
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

7901 Broadway
Elmhurst, NY 11373-1329
Phone: (718) 334-3542
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1701 S Creasy Ln, Lafayette, IN 47905-4972 — (765) 502-4866
  • 6565 Fannin St Ste 300, Houston, TX 77030-2703 — (832) 667-5301

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 33663 (NE)
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X · Licence 01097670A (IN)
Psychiatry Physician Taxonomy 2084P0800X · Licence FF6061092 (TX)
Psychiatry Physician Taxonomy 2084P0800X · Licence FF6066383 (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence FF6066383 (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence W0805 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 33663 (NE)

Record details

NPI number1255795886
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 9, 2016
Last updated in NPPESApril 24, 2026
Certification dateApril 24, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Franciscan Physician Network — 1171 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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