Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mamata Myneni

Individual provider Diagnostic Radiology Physician · NPI 1043416654

Mamata Myneni is a Diagnostic Radiology in Durham, North Carolina. Graduated from New York Medical College in 2007, 19 years ago. Practices with District Medical Group Inc, a 450-clinician group and accepts Medicare assignment. Licensed in California and Florida.

Years since qualifying
19
Trained at
New York Medical College
Licensed in
CA, FL
In the registry since
2007
Specialties on file
2
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Practice location Address checks out

2100 Erwin Rd Banner Good Samaritan Medical Ctr
Durham, NC 27705-3941
Phone: (919) 684-8111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence A130515 (CA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence ME125336 (FL)

Record details

NPI number1043416654
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 22, 2007
Last updated in NPPESSeptember 11, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolNEW YORK MEDICAL COLLEGE
Graduated 2007 (19 years in practice)
Group practice District Medical Group Inc — 450 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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