National Provider Identifier Database

DYNAMIC RADIOLOGY TENNESSEE PC
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.


Contact Information

DYNAMIC RADIOLOGY TENNESSEE, PC
651 DUNLOP LN
CLARKSVILLE, TN37040
Phone: 615-788-9324
Fax:
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X
Vascular & Interventional Radiology 2085R0204X

* Indicates primary specialty

NPI Profile & details for DYNAMIC RADIOLOGY TENNESSEE, PC

NPI Number 1588387096
Legal business name
LBN
DYNAMIC RADIOLOGY TENNESSEE, PC
Authorized official FARID THANAWALLA - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 09/20/2022
Last updated 01/27/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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