# DR. MAMATHA K AGRAWAL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1205864659
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 200000169 | NC | Yes |

## Other

- **Enumeration date:** 06/28/2006
- **Last updated:** 05/04/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 010066307 | RAILROAD MEDICARE | NC |
| 01 | — | 0156615 | UHC | NC |
| 01 | — | 116335 | AETNA HMO | NC |
| 01 | — | 127VU | BCBS | NC |
| 01 | — | 171525 | WELLPATH | NC |
| 01 | — | 228096 | MAMSI | NC |
| 01 | — | 7478171 | AETNA PPO | NC |
| 01 | — | 8443512 | CIGNA | NC |
| 05 | — | 89127VU | — | NC |
| 01 | — | B4846 | MEDCOST | NC |