Bommanna, Vasudeva M
Bommanna, Vasudeva M is an sole proprietor health care provider with primary practice located at 607 Russell Blvd Suite ' B', Nacogdoches TX 75965-1247. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Allergy. Allopathic & Osteopathic Physicians / Allergy is his primary health care specialty. Bommanna, Vasudeva M can be contacted via phone (936) 559-7750.Contact Information
Primary practice address
607 Russell Blvd Suite ' B'
Nacogdoches TX 75965-1247
Phone: (936) 559-7750
Fax: (936) 559-7807
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | K 3685 | Texas |
| Allopathic & Osteopathic Physicians / Allergy | 207KA0200X | K 3685 | Texas |
Profile Details
| NPI number | 1477594836 |
|---|---|
| LBN Legal business name | Bommanna, Vasudeva M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 9th, 2006 |
| Last updated | Jul 16th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477594836 | NPPES |
| Texas | Other | 612574 | MEDICARE # FOR WEBSTER |
| Texas | Other | 0020CF | MEDICARE # FOR WEBSTER |
Popular Providers
-
Sikora, Robert A
2296 Opitz Blvd Ste 401, Woodbridge VA 22191-3347 -
Pincus, Lawrence G
100 Mlk Jr Blvd 2Nd Fl, Worcester MA 01608-1209 -
Sullivan, John S
100 Mlk Jr Blvd 2Nd Floor, Worcester MA 01608-1209 -
Entis, Gregory N
8245 Northcreek Dr , Cincinnati OH 45236-2283 -
Smith, Gary L
5402 S Staples St Ste 205, Corpus Christi TX 78411-4670 -
Ruggiero, Peter
1200 W Sr 434 Suite 112, Longwood FL 32750-4986 -
Kerwin, Edward
3860 Crater Lake Ave , Medford OR 97504-9741 -
Bacon, John Richard
120 Sister Pierre Dr Ste 201, Towson MD 21204-7525