| Doctor Name: | MAMATA EAGAM |
| NPI Number: | 1174797179 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DO |
| License Number: | 02004718A |
| Business Practice Address: | 902 Provident Drive Suite A Warsaw, IN - 465803379 |
| Business Phone Number: | 5742698338 |
| Business Fax Number: | 5742698339 |
| Mailing Address: | 6920 Pointe Inverness Way, Suite 200 FORT WAYNE |
| State: | IN |
| Postal Code: | 468047934 |
| Phone Number: | 2604793513 |
| Fax Number: | 2604793520 |
| NPI Enumeration Date: | 04/22/2008 |
| NPI Last Update Date: | 06/07/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208000000X |
| License Number: | 02004718A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Pediatrics |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |