Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. VASUDEVA M BOMMANNA, MD
Active Sole ProprietorDR. VASUDEVA M BOMMANNA, MD is a Allergy healthcare provider located in NACOGDOCHES, Texas. NPI 1477594836 is currently active in the NPPES registry. Verify at CMS.
Allergy · NACOGDOCHES, TX
Registration Details
- NPI Number
- 1477594836
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 9, 2006 (20.143906056064 yrs)
- Last Updated
- Jul 16, 2007
- Licenses
-
K 3685 (TX)K 3685 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
607 RUSSELL BLVDSUITE ' B'NACOGDOCHES, TX, 759651247Browse TX providers · Browse ZIP 75965
- Phone
- 9365597750
- Fax
- 9365597807
- Primary Specialty
-
Allergy
207KA0200X
- Additional Specialty
- Allergy
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.