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

Mamata Eagam, DO

Individual provider Pediatrics Physician · NPI 1174797179

Mamata Eagam, DO is a Pediatrics Physician in Warsaw, Indiana. Licensed in Florida and Indiana. Registered with an NPI since 2008.

Licensed in
FL, IN
In the registry since
2008
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

902 Provident Dr Ste A
Warsaw, IN 46580-3379
Phone: (574) 269-8338
Fax: (574) 269-8339
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence OS14468 (FL)
Pediatrics Physician Taxonomy 208000000X · Licence 02004718A (IN)

Record details

NPI number1174797179
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 22, 2008
Last updated in NPPESOctober 10, 2019
Mailing address6920 Pointe Inverness Way, Suite 200, Fort Wayne, IN 46804-7934

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