# FARID ABDULREHMAN THANAWALLA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1770558496
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0202X | Diagnostic Radiology Physician | 04-39312 | KS | — |
| 2085R0202X | Diagnostic Radiology Physician | 217086 | MA | — |
| 2085R0202X | Diagnostic Radiology Physician | 24890 | NE | — |
| 2085R0202X | Diagnostic Radiology Physician | 56250 | CO | — |
| 2085R0202X | Diagnostic Radiology Physician | MD18855 | HI | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | 217086 | MA | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | 24890 | NE | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | 54593 | TN | Yes |
| 2085R0204X | Vascular & Interventional Radiology Physician | 79558 | GA | — |

## Other

- **Enumeration date:** 02/17/2006
- **Last updated:** 08/31/2026