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:
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Health care specialties

SpecialtyCodeLicense #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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