Virginia Board of Medicine Practitioner Information

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Mamata Nataraj Mysore, MD

LICENSE # 0101235919
  http://mamata_mysore@yahoo.com
Issue Date: 1/14/2004
Expiration Date: 1/31/2026
Status: Current Active


General InformationEducationCertifications & Practice AreaInsuranceHonors & AwardsAcademic Appointments & PublicationsProceedings, Actions & ConvictionsPaid Claims
Unless otherwise indicated, this information has been self-reported and has not been verified by the Board of Medicine.


Primary Practice Address
Last Updated 12/20/2023
Kaiser Permanente Columbia Gateway Medical Center
7070 Samuel Morse Dr
Columbia, MD 21045
Phone: 240-529-1700

Location Details

  • Practitioner spends 95% of time at this location.


Additional Practice Address
Last Updated 12/20/2023
Kaiser Permanente Tysons Corner Medical Center
8008 Westpark Dr.
McLean, VA 22102
Phone: 703-287-6400

Location Details

  • Practitioner spends 5% of time at this location.


Years in Active Clinical Practice
Last Updated 12/20/2023
Years in Active Clinical Practice Inside US/Canada: 0
Medicaid
Last Updated 12/20/2023
Participate in the Virginia Medicaid program
Is accepting new Virginia Medicaid patients
Medicare
Last Updated 12/20/2023
Is a Medicare participating provider
Is accepting new Medicare patients
Virginia Hospital Affiliations
Last Updated 12/20/2023
None Reported
Hospital Affiliations in States Other Than Virginia
Last Updated 12/20/2023