Family Doctor Carync, P.L.L.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

200000169 Issued in NC

Legal business name

FAMILY DOCTOR CARYNC, P.L.L.C.

Practice address

200 Keisler Dr Ste B
Cary, NC 27518-8801

Phone

(919) 859-7177

NPI assigned

Sep 29, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mamatha Agrawal, MD

Title

President

Phone

(919) 412-6073

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1348876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446163200000",
    "number": "1619228665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 KEISLER DR STE B",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275188801",
            "telephone_number": "919-859-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 KEISLER DR STE B",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275188801",
            "telephone_number": "919-859-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DOCTOR CARYNC, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-29",
        "last_updated": "2015-10-30",
        "status": "A",
        "authorized_official_last_name": "AGRAWAL",
        "authorized_official_first_name": "MAMATHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-412-6073",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200000169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Cary, NC
• Providers in Cary, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.