Thanawalla, Farid Abdulrehman
Thanawalla, Farid Abdulrehman is an individual health care provider with primary practice located at 919 Conference Dr Ste 4 , Goodlettsville TN 37072-1924. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Thanawalla, Farid Abdulrehman can be contacted via phone (615) 788-9324.Contact Information
Primary practice address
919 Conference Dr Ste 4
Goodlettsville TN 37072-1924
Phone: (615) 788-9324
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 217086 | Massachusetts |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 24890 | Nebraska |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 56250 | Colorado |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 04-39312 | Kansas |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD18855 | Hawaii |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 217086 | Massachusetts |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 24890 | Nebraska |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 54593 | Tennessee |
Profile Details
| NPI number | 1770558496 |
|---|---|
| LBN Legal business name | Thanawalla, Farid Abdulrehman |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 17th, 2006 |
| Last updated | Jan 19th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770558496 | NPPES |
| Montana | MEDICAID | 1770558496 | |
| Montana | MEDICAID | 1770558496 | |
| Montana | MEDICAID | 200659440A | |
| Montana | MEDICAID | 2015757 | |
| Montana | MEDICAID | 87881730 | |
| Montana | MEDICAID | 1770558496 | |
| Montana | MEDICAID | 191281 | |
| Montana | Other | A35829 | |
| Montana | MEDICAID | 201141130A | |
| Montana | MEDICAID | 82653844 | |
| Montana | MEDICAID | $$$$$$$$$ |
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