Individual provider · Type 1 NPI

Matthew Agam, MD

Student in an Organized Health Care Education/Training Program · Atlanta, GA

NPI number 1720540990 Active

Practice location

1365B Clifton Rd NE Rm B6169C
Atlanta, GA 30322-1059

Call (404) 778-2190 Map

Fax (404) 778-4472

Specialties and licenses

TaxonomyCodeLicense
Neurological Surgery Physician 207T00000X28457 (NV)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1720540990

Matthew Agam, MD's National Provider Identifier is 1720540990, issued on Apr 4, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Atlanta, GA. The record was last updated on Mar 24, 2026.