MAMATA SIVAGNANAM

SAN DIEGO, CA
NPI1932328747
Former NameMAMATA ENGINEER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2080P0206X Pediatrics, Pediatric Gastroenterology
(Licence: CA  A86863)
Enumeration Date2007-04-24
Last Update Date2011-11-01
Business Address
-- MAMATA SIVAGNANAM MD
8110 BIRMINGHAM WAY BLDG 28
SAN DIEGO, CA 92123-2758
Phone number: 858-966-4003
Mailing Address
-- MAMATA SIVAGNANAM MD
3860 CALLE FORTUNADA STE #210
SAN DIEGO, CA 92123-4802
Phone number: 858-309-6303