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Dr. Vasudeva M Bommanna

Allergist & Immunologist Allergist

607 Russell Blvd Suite ' B'
Nacogdoches , Texas 75965-1247

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Dr. Vasudeva M Bommanna

Allergist & Immunologist Allergist

607 Russell Blvd Suite ' B'
Nacogdoches , Texas 75965-1247

(936) 559-7807

Write a Review Save Call

Dr. Vasudeva M Bommanna

Allergist & Immunologist Allergist

607 Russell Blvd Suite ' B'
Nacogdoches , Texas 75965-1247

(936) 559-7807 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Allergist & Immunologist
  • Allergist

Languages spoken

  • English

Location

607 Russell Blvd Suite ' B' Nacogdoches , Texas 75965-1247

First Address

  • Dr. Vasudeva M Bommanna
  • 607 Russell Blvd Suite ' B'
  • Nacogdoches, TX
  • Zip : 75965-1247
  • Fax : (936) 559-7807
  • Phone : (936) 559-7750

Second Address

  • Dr. Vasudeva M Bommanna
  • 607 Russell Blvd Suite ' B'
  • Nacogdoches, TX
  • Zip : 75965-1247
  • Fax : (936) 559-7807
  • Phone : (936) 559-7750

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FAQs


Where did Dr. Vasudeva M Bommanna attend graduate school?

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Where did Dr. Vasudeva M Bommanna do his residency?

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Where did Dr. Vasudeva M Bommanna do his fellowship?

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Is Dr. Vasudeva M Bommanna board certified?

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What type of doctor is Dr. Vasudeva M Bommanna

Allergist

In what state does Dr. Vasudeva M Bommanna practice in?

Texas

Where is Dr. Vasudeva M Bommanna ’s practice located?

607 Russell Blvd Suite ' B' , Nacogdoches, Texas, 75965-1247

What is Dr. Vasudeva M Bommanna ’s gender?

Male

Is Dr. Vasudeva M Bommanna a sole practitioner?

No

Is Dr. Vasudeva M Bommanna accepting new patients?

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What languages does Dr. Vasudeva M Bommanna speak?

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Does Dr. Vasudeva M Bommanna accept insurance?

Yes, Dr. Vasudeva M Bommanna accepts insurance

Does Dr. Vasudeva M Bommanna offers telemedicine?

Dr. Vasudeva M Bommanna has not indicated if he offers telemedicine

What is Dr. Vasudeva M Bommanna ’s professional license number?

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What is Dr. Vasudeva M Bommanna ’s NPI number?

1477594836

Does Dr. Vasudeva M Bommanna have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 207K00000X Allergist & Immunologist K 3685 TX
Y 207KA0200X Allergist K 3685 TX

National Provider Identifier

NPI 1477594836
Provider Name Dr. Vasudeva M Bommanna
First Address Nacogdoches, TX 75965-1247
Second Address Nacogdoches, TX 75965-1247
Gender M
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 09/06/2006
Last Update Date 16/07/2007

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
0020CF BLUE CROSS # (01) TX
612574 MEDICARE # FOR WEBSTER (01) TX
G-59803 (02)

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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