| Mamata Myneni, | |
|
2100 Erwin Rd, Banner Good Samaritan Medical Center, Durham, NC 27705-3941 | |
| (919) 684-8111 | |
| Not Available |
| Full Name | Mamata Myneni |
|---|---|
| Gender | Female |
| Speciality | Diagnostic Radiology |
| Experience | 18 Years |
| Location | 2100 Erwin Rd, Durham, North Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043416654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | A130515 (California) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | ME125336 (Florida) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Valleywise Health Medical Center | Phoenix, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| District Medical Group Inc | 7315086691 | 406 |
| Entity Name | District Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336472448 PECOS PAC ID: 7315086691 Enrollment ID: O20091125000583 |
| Mailing Address | Practice Location Address |
|---|---|
| Mamata Myneni, 5213 S Alston Ave, Durham, NC 27713-4430 Ph: (919) 620-8111 | Mamata Myneni, 2100 Erwin Rd, Banner Good Samaritan Medical Center, Durham, NC 27705-3941 Ph: (919) 684-8111 |
Mary Margaret Woodruff, Radiology Medicare: Accepting Medicare Assignments Practice Location: 2301 Erwin Rd, Durham, NC 27705 Phone: 919-684-6111 | |
Dr. Roger L Cothran Jr., M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 4101 N Roxboro St, Durham, NC 27704 Phone: 919-684-8111 | |
Zachary Angel, Radiology Medicare: Medicare Enrolled Practice Location: 2301 Erwin Rd, Durham, NC 27705 Phone: 919-684-8111 | |
Reginald R Pareja, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3022 Croasdaile Dr Ste 101, Durham, NC 27705 Phone: 877-780-5559 | |
Dr. Matthew Jacob Boyer, M.D., PH.D. Radiology Medicare: Medicare Enrolled Practice Location: Durham Vamc Department Of Radiation Oncology, 508 Fulton St, Durham, NC 27705 Phone: 919-286-6996 | |
Hersh Rajesh Patel, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: Duke University Medical Center, Durham, NC 27710 Phone: 919-684-2711 |