Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mamak Eatesam, MD

Individual provider Internal Medicine Physician · NPI 1407139314

Dr. Mamak Eatesam, MD is an Internal Medicine Physician in Irvine, California. Practices as a sole proprietor. Licensed in California, Illinois and Indiana.

Licensed in
CA, IL, IN
In the registry since
2011
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

62 Corporate Park Ste 145
Irvine, CA 92606-3132
Phone: (408) 881-4177
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Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence A157965 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 125.060479 (IL)
Internal Medicine Physician Taxonomy 207R00000X · Licence 01074579B (IN)

Record details

NPI number1407139314
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 27, 2011
Last updated in NPPESNovember 16, 2024
Certification dateNovember 16, 2024
Mailing address62 Corporate Park Ste 145, Irvine, CA 92606-3132

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