Individual
MAMARAM CEESAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1301 W 38TH ST STE 705, AUSTIN, TX 78705-1016
(512) 324-7036
Mailing address
1301 W 38TH ST STE 705, AUSTIN, TX 78705-1016
(512) 324-7036
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
BP10066806
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BP10066806
PHYSICIAN-IN-TRAINING
TX
Enumeration date
04/06/2019
Last updated
04/06/2019
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