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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MAMATA EAGAM, DO

Active

MAMATA EAGAM, DO is a Pediatrics healthcare provider located in WARSAW, Indiana. NPI 1174797179 is currently active in the NPPES registry. Verify at CMS.

Pediatrics · WARSAW, IN

Registration Details

NPI Number
1174797179
Provider Type
Individual
Gender
Female
NPI Issued
Apr 22, 2008 (18.12946782888 yrs)
Last Updated
Oct 10, 2019
Licenses
02004718A (IN)
OS14468 (FL)

Practice Information

Address
902 PROVIDENT DRIVE
SUITE A
WARSAW, IN, 465803379
Browse IN providers · Browse ZIP 46580
Phone
5742698338
Fax
5742698339
Primary Specialty
Pediatrics
208000000X
Additional Specialty
Pediatrics

Other Pediatrics Providers in WARSAW, IN

Name Credential NPI
DR. JEFFREY DOUGLAS O'DELL M.D. 1336129378
DR. ANITA I KISHAN M.D. 1346290731
DR. TODD ALLEN DILLON MD 1285653956
DR. CHARLES LEE HILL III D.O. 1467958520
DR. MIRY LISBETH LANPHERE MD 1447740519
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.