Dynamic Radiology Tennessee, PC
NPI 1588387096ActiveOrganization· Radiology, Diagnostic Radiology· Clarksville, TN
Radiology, Diagnostic Radiology in Clarksville, Tennessee, registered in NPPES in September 2022. The authorized official on file is Farid Thanawalla, MD, Medical Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1588387096 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 20, 2022 |
| Last updated in NPPES | Jan 27, 2023 |
| Certified by provider | Jan 27, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | — | — |
| Radiology, Vascular & Interventional Radiology | 2085R0204X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TN) |
|---|
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