Mamatha K Agrawal (NPI# 1205864659, PAC ID# 8820988777) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1205864659 |
| PAC ID by PECOS | 8820988777 |
| Professional Enrollment ID | I20110927000823 |
| Full Name | Mamatha K Agrawal |
| Organization Legal Name | SHAH AND ASSOCIATES FAMILY PRACTICE |
| Address |
600 New Waverly Pl Suite 205 Cary NC 27518-7404 |
| Phone Number | 9196109788 |
| Gender | F |
| Medical School | NORTHWESTERN UNIVERSITY MEDICAL SCHOOL |
| Graduation Year | 1997 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2365419967 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340173 | WAKEMED, CARY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 600 New Waverly Pl, Suite 205, Cary, NC 27518-7404 | 9196109788 | SHAH AND ASSOCIATES FAMILY PRACTICE |
| Organization Legal Name | SHAH AND ASSOCIATES FAMILY PRACTICE |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer C Wilkins | Nurse Practitioner | Shah and Associates Family Practice | 600 New Waverly Pl, Suite 205, Cary, NC 27518-7404 |
| Dipen R Shah | Family Medicine | Shah and Associates Family Practice | 600 New Waverly Pl, Suite 205, Cary, NC 27518-7404 |
| Street Address |
600 NEW WAVERLY PL SUITE 205 |
| City | CARY |
| State | NC |
| Zip | 27518-7404 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason M Licht | Physician Assistant | Wakemed Specialists Group, LLC | 600 New Waverly Pl, Cary, NC 27518-7404 |
| Spyro P Vulgaropulos | Obstetrics/gynecology | Uwh of North Carolina LLP | 600 New Waverly Pl, Suite 310, Cary, NC 27518-7404 |
| Aaron C Kopp | Physician Assistant | Wakemed Specialists Group, LLC | 600 New Waverly Pl, Cary, NC 27518-7404 |
| Jeffrey R Daw | Cardiovascular Disease (cardiology) | Wakemed Specialists Group, LLC | 600 New Waverly Pl, Cary, NC 27518-7404 |
| Brenna L Hughes | Obstetrics/gynecology | Private Diagnostic Clinic Pllc | 600 New Waverly Pl, Cary, NC 27518-7404 |
| Jennifer C Wilkins | Nurse Practitioner | Shah and Associates Family Practice | 600 New Waverly Pl, Suite 205, Cary, NC 27518-7404 |
| Amy L Thompson | Physician Assistant | Wakemed Specialists Group, LLC | 600 New Waverly Pl, Cary, NC 27518-7404 |
| Laura L Webb | Physician Assistant | Wakemed Specialists Group, LLC | 600 New Waverly Pl, Cary, NC 27518-7404 |
| Jimmy Locklear | Cardiovascular Disease (cardiology) | Wakemed Specialists Group, LLC | 600 New Waverly Pl, Cary, NC 27518-7404 |
| Lisa M Grana | Obstetrics/gynecology | Uwh of North Carolina LLP | 600 New Waverly Pl, Suite 310, Cary, NC 27518-7404 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin Ellenberger | Physical Therapy | Activcare Physical Therapy, LLC | 103 Pkwy Ct, Suite 102, Cary, NC 27518 |
| Lauren Allen | Physical Therapy | Activcare Physical Therapy, LLC | 103 Pkwy Ct, Suite 102, Cary, NC 27518 |
| Jasen E Brisson | Physical Therapy | Activcare Physical Therapy, LLC | 103 Pkwy Ct, Suite 102, Cary, NC 27518 |
| Megan Cusick | Physical Therapy | Activcare Physical Therapy, LLC | 103 Pkwy Ct, Suite 102, Cary, NC 27518 |
| Ujjawal H Gandhi | Hematology/oncology | Rex Hospital Inc | 150 Pkwy Office Ct, Suite 200, Cary, NC 27518-0002 |
| Charles Freder Eisenbeis | Hematology/oncology | Rex Hospital Inc | 150 Pkwy Office Ct, Suite 200, Cary, NC 27518-0002 |
| Denise Pescaro | Nurse Practitioner | Rex Hospital Inc | 150 Pkwy Office Ct, Suite 200, Cary, NC 27518-0002 |
| Clare Bremer | Nurse Practitioner | Rex Hospital Inc | 150 Pkwy Office Ct, Suite 200, Cary, NC 27518-0002 |
| Amanda M Sherrod | Hematology/oncology | Rex Hospital Inc | 150 Pkwy Office Ct, Suite 200, Cary, NC 27518-0002 |
| Ranjit Joseph | Hematology/oncology | Rex Hospital Inc | 150 Pkwy Office Ct, Suite 200, Cary, NC 27518-0002 |
| Find all physicians in zip 27518 | |||
| City | CARY |
| Zip Code | 27518 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CARY + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Mamatha K Agrawal.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.