SHIRISH THANAWALA NPI 1629081591

NPI Information

  • NPI: 1629081591
  • Provider Name: SHIRISH THANAWALA
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3117 BUHRE AVE
    BRONX, NY
    ZIP 10461
  • Phone: (718) 828-1148

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NPI Details

Shirish Thanawala is a diagnostic radiology radiology in Bronx, NY. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Shirish Thanawala NPI is 1629081591. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3117 BUHRE AVE
BRONX, NY
ZIP 10461-738
Phone: (718) 828-1148

The NPI 1629081591 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/14/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyNY125316NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
145A751MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
287B281OTHERNEW YORKBCBS
30010009OTHERNEW YORKGHI
4B14878MEDICARE UPIN
5P00242609OTHERRR MCR
600562809MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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