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Contact Information

DYNAMIC RADIOLOGY TENNESSEE, PC
651 DUNLOP LN
CLARKSVILLE, TN37040
 Phone: 615-788-9324
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
Indicates primary specialty

NPI Profile & details for DYNAMIC RADIOLOGY TENNESSEE, PC

NPI Number 1588387096
LBN Legal business name DYNAMIC RADIOLOGY TENNESSEE, PC
Authorized official FARID THANAWALLA - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 09/20/2022
Last updated 01/27/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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