Individual provider · Type 1 NPI
Vasudeva M. Bommanna, MD
Allergy Physician · Nacogdoches, TX
NPI number
1477594836
Active
Practice location
607 Russell Blvd, Suite ' B'
Nacogdoches, TX 75965-1247
Fax (936) 559-7807
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Allergy & Immunology Physician | 207K00000X | K 3685 (TX) |
| Allergy Physician Primary | 207KA0200X | K 3685 (TX) |
Allergy Physician: A physician who specializes in the diagnosis, treatment, and management of allergies.
2 other providers at this address
About NPI 1477594836
Vasudeva M. Bommanna, MD's National Provider Identifier is 1477594836, issued on Jun 9, 2006. The primary taxonomy on file is Allergy Physician (207KA0200X), and the practice location is in Nacogdoches, TX. The record was last updated on Jul 16, 2007.