Sivagnanam, Mamata
Sivagnanam, Mamata is an individual health care provider with primary practice located at 8110 Birmingham Way Bldg 28, San Diego CA 92123-2758. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as her primary health care specialty. Sivagnanam, Mamata can be contacted via phone (858) 966-4003.Contact Information
Primary practice address
8110 Birmingham Way Bldg 28
San Diego CA 92123-2758
Phone: (858) 966-4003
Fax: (858) 560-6798
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X | A86863 | California |
Profile Details
| NPI number | 1932328747 |
|---|---|
| LBN Legal business name | Sivagnanam, Mamata |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 24th, 2007 |
| Last updated | Nov 1st, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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