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

DR. MAMAK EATESAM, M.D.

Active Sole Proprietor

DR. MAMAK EATESAM, M.D. is a Internal Medicine healthcare provider located in IRVINE, California. NPI 1407139314 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · IRVINE, CA

Registration Details

NPI Number
1407139314
Provider Type
Individual
Gender
Female
NPI Issued
Sep 27, 2011 (14.896067397169 yrs)
Last Updated
Nov 16, 2024
Licenses
125.060479 (IL)
01074579B (IN)
A157965 (CA)
Sole Proprietor
Yes

Practice Information

Address
62 CORPORATE PARK STE 145
IRVINE, CA, 926063132
Browse CA providers · Browse ZIP 92606
Phone
4088814177
Primary Specialty
Internal Medicine
207R00000X
Additional Specialty
Internal Medicine
Additional Specialty
Internal Medicine

Other Internal Medicine Providers in IRVINE, CA

Name Credential NPI
DR. JUAN MARIA CABRERA M.D. 1447254792
ADEELA RIZVI AHSAN MD 1932103595
JAMES J STREBIG MD 1093716151
DR. SUBRATO GHOSH MD 1083607055
DR. BRIAN B LO MD 1073501565
DR. SAVITHA J. BHARADWAJ M.D. 1760470926
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.