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

Dr. Vasudeva M Bommanna, MD

Individual provider Allergy & Immunology Physician · NPI 1477594836

Dr. Vasudeva M Bommanna, MD is an Allergy/Immunology in Nacogdoches, Texas. Qualified in 1983, 43 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
43
Licensed in
TX
In the registry since
2006
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

607 Russell Blvd Ste ' B'
Nacogdoches, TX 75965-1247
Phone: (936) 559-7750
Fax: (936) 559-7807
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Allergy Physician (primary) Taxonomy 207KA0200X · Licence K 3685 (TX)
Allergy & Immunology Physician Taxonomy 207K00000X · Licence K 3685 (TX)

Record details

NPI number1477594836
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 9, 2006
Last updated in NPPESJuly 16, 2007

Medicare enrollment

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

Medicare specialtyALLERGY/IMMUNOLOGY
Medical schoolOTHER
Graduated 1983 (43 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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