Individual provider · Type 1 NPI

Mamata Myneni

Diagnostic Radiology Physician · Durham, NC

NPI number 1043416654 Active

Practice location

2100 Erwin Rd, Banner Good Samaritan Medical Center
Durham, NC 27705-3941

Call (919) 684-8111 Map

Mailing address

5213 S Alston Ave
Durham, NC 27713-4430

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202XA130515 (CA)
Diagnostic Radiology Physician 2085R0202XME125336 (FL)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1043416654

Mamata Myneni's National Provider Identifier is 1043416654, issued on Jun 22, 2007. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Durham, NC. The record was last updated on Sep 11, 2015.