# DR. CHANDRA S BOMMA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1962517433
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | D0059614 | MD | — |
| 207RC0000X | Cardiovascular Disease Physician | 0101243472 | VA | — |
| 207RC0000X | Cardiovascular Disease Physician | MD.200418 | LA | — |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | ME106874 | FL | Yes |

## Other

- **Enumeration date:** 08/21/2006
- **Last updated:** 08/09/2016