Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Shivanand Bomman, MD

Individual provider Internal Medicine Physician · NPI 1063641348

Dr. Shivanand Bomman, MD is a Gastroenterology in Tucson, Arizona. Qualified in 2007, 19 years ago. Practices with Banner-University Medical Group, a 1,071-clinician group and accepts Medicare assignment. Licensed in Arizona and Nevada.

Years since qualifying
19
Licensed in
AZ, NV
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1625 N Campbell Ave
Tucson, AZ 85719-4330
Phone: (520) 626-3992
Fax: (520) 626-2520
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence R79307 (AZ)
Internal Medicine Physician Taxonomy 207R00000X · Licence 14557 (NV)

Record details

NPI number1063641348
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 8, 2009
Last updated in NPPESDecember 27, 2023
Certification dateDecember 27, 2023
Mailing address1625 N Campbell Ave, Tucson, AZ 85719-4330

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGASTROENTEROLOGY
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Banner-University Medical Group — 1071 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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