| Farid Abdulrehman Thanawalla, MD | |
|
919 Conference Dr Ste 4, Goodlettsville, TN 37072-1924 | |
| (615) 788-9324 | |
| Not Available |
| Full Name | Farid Abdulrehman Thanawalla |
|---|---|
| Gender | Male |
| Speciality | Interventional Radiology |
| Experience | 32 Years |
| Location | 919 Conference Dr Ste 4, Goodlettsville, Tennessee |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770558496 | NPI | - | NPPES |
| 1770558496 | Medicaid | MT | |
| 1770558496 | Medicaid | IA | |
| 200659440A | Medicaid | OK | |
| 2015757 | Medicaid | MA | |
| 87881730 | Medicaid | NM | |
| 1770558496 | Medicaid | SD | |
| 191281 | Medicaid | AZ | |
| A35829 | Other | MA | MEDICARE ID |
| 201141130A | Medicaid | KS | |
| 82653844 | Medicaid | CO | |
| $$$$$$$$$ | Medicaid | NE |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tennova Healthcare-clarksville | Clarksville, TN | Hospital |
| Metro Nashville General Hospital | Nashville, TN | Hospital |
| Phoebe Putney Memorial Hospital | Albany, GA | Hospital |
| Vanderbilt University Medical Center | Nashville, TN | Hospital |
| Leconte Medical Center | Sevierville, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Metropolitan Hospital Authority | 3779775432 | 48 |
| Dynamic Radiology Tennessee Pc | 6204207798 | 11 |
| Vista Radiology, Pc | 9234041559 | 62 |
| Phoebe Physician Group Inc | 8426112350 | 375 |
| Entity Name | Vista Radiology, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386698710 PECOS PAC ID: 9234041559 Enrollment ID: O20031104000432 |
| Entity Name | Radiology Alliance Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861478489 PECOS PAC ID: 1850280470 Enrollment ID: O20040312000115 |
| Entity Name | Metropolitan Hospital Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710206156 PECOS PAC ID: 3779775432 Enrollment ID: O20101013000530 |
| Entity Name | Dynamic Radiology Tennessee Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588387096 PECOS PAC ID: 6204207798 Enrollment ID: O20230119003085 |
| Entity Name | Regional West Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982718219 PECOS PAC ID: 1759285885 Enrollment ID: O20240903000406 |
| Entity Name | Nashville Healthcare Diagnostic Center Llc |
|---|---|
| Entity Type | Part B Supplier - Independent Diagnostic Testing Facility (idtf) |
| Entity Identifiers | NPI Number: 1770262503 PECOS PAC ID: 8820520349 Enrollment ID: O20241022000898 |
| Mailing Address | Practice Location Address |
|---|---|
| Farid Abdulrehman Thanawalla, MD 919 Conference Dr, Suite #4, Box 167, Goodlettsville, TN 37072-1924 Ph: (615) 788-9324 | Farid Abdulrehman Thanawalla, MD 919 Conference Dr Ste 4, Goodlettsville, TN 37072-1924 Ph: (615) 788-9324 |
Mr. Marc G Soble, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 3024 Business Park Cir, Goodlettsville, TN 37072 Phone: 615-851-6033 Fax: 615-851-2018 | |
Melinda Rixey Sava, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3024 Business Park Cir, Goodlettsville, TN 37072 Phone: 615-851-6033 Fax: 615-851-2018 | |
Mr. Lawrence D Lubow, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 3024 Business Park Cir, Goodlettsville, TN 37072 Phone: 615-851-6033 Fax: 615-851-2018 | |
Dr. John J Nisbet, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3024 Business Park Cir, Goodlettsville, TN 37072 Phone: 615-851-6033 Fax: 615-234-1502 | |
Mr. Michael C Ellis, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 3024 Business Park Cir, Goodlettsville, TN 37072 Phone: 615-851-6033 Fax: 615-851-2018 | |
Dr. Jonathan Paul Gordon, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3024 Business Park Cir, Goodlettsville, TN 37072 Phone: 615-851-6033 Fax: 615-851-2018 | |
Dr. Matthew Renaud Bernhard, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3024 Business Park Cir, Goodlettsville, TN 37072 Phone: 615-851-6033 Fax: 615-851-2018 |