DYNAMIC RADIOLOGY TENNESSEE, PC – NPI #1588387096
Radiology

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

Health Care Provider Taxonomy Code for Radiology

DYNAMIC RADIOLOGY TENNESSEE, PC is a radiologist located in CLARKSVILLE, TN. NPPES has assigned the NPI number 1588387096 to DYNAMIC RADIOLOGY TENNESSEE, PC on September 20, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 3 years ago on Jan 27, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DYNAMIC RADIOLOGY TENNESSEE, PC below.

NPI Profile for
DYNAMIC RADIOLOGY TENNESSEE, PC

NPI Number
1588387096
Enumeration Date

(more than 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DYNAMIC RADIOLOGY TENNESSEE, PC
Primary location
651 DUNLOP LN
CLARKSVILLE, TN 37040
Phone: (615) 788-9324 Fax:
Mailing address
919 CONFERENCE DR.
SUITE 4 BOX 167
GOODLETTSVILLE, TN 37072-1924
Phone: (615) 788-9324 Fax:
Organization Subpart
No
Authorized Official
FARID THANAWALLA
MEDICAL DIRECTOR
Phone: (248) 388-5005
Updated
Certification Date
Jan 27, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)
2085R0204X
- Radiology / Vascular & Interventional Radiology

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.