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1932328747
MAMATA SIVAGNANAM
SAN DIEGO, CA
NPI
1932328747
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Former Name
MAMATA ENGINEER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2080P0206X Pediatrics, Pediatric Gastroenterology
(Licence: CA A86863)
Enumeration Date
2007-04-24
Last Update Date
2011-11-01
Business Address
-- MAMATA SIVAGNANAM MD
8110 BIRMINGHAM WAY BLDG 28
SAN DIEGO, CA 92123-2758
Phone number: 858-966-4003
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Mailing Address
-- MAMATA SIVAGNANAM MD
3860 CALLE FORTUNADA STE #210
SAN DIEGO, CA 92123-4802
Phone number: 858-309-6303
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