Individual Healthcare Provider
Edward Mardakhaev, MD
Provider's NPPES record last updated: June 4, 2026
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1396139820
- Primary Specialty
- Radiology — Diagnostic Radiology
- Practice Location
- Teaneck, New Jersey
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 19, 2026, 6:44 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Radiology
Diagnostic Radiology
Allopathic & Osteopathic Physicians
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Taxonomy code 2085R0202X
Provider-Reported License Information
- Radiology (New Jersey)
- 25MA12491100
- Radiology (New Hampshire)
- 24506
- Radiology (Tennessee)
- 76270
Practice Locations
Practice Location
718 Teaneck Rd
Teaneck, New Jersey 07666-4245
Phone: (201) 833-7255
Additional Practice Location
7211 Wellington Dr Ste 101
Knoxville, Tennessee 37919-5968
Phone: (865) 584-4747
Fax: (833) 908-0998
Additional Practice Location
1 Medical Center Dr
Lebanon, New Hampshire 03756-0001
Phone: (602) 650-5000
Fax: (603) 640-1228
Record Information
- Enumeration Date
- March 23, 2015
- Provider's NPPES Record Last Updated
- June 4, 2026
- Certification Date
- June 4, 2026
- NPISignal NPPES Dataset
- August 2026
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