Individual
DR. SHIVANAND BOMMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1625 N CAMPBELL AVE, TUCSON, AZ 85719-4330
(520) 626-3992
(520) 626-2520
Mailing address
1625 N CAMPBELL AVE, TUCSON, AZ 85719-4330
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
14557
NV
207RG0100X
Gastroenterology Physician
Primary
R79307
AZ
Other
Enumeration date
07/08/2009
Last updated
12/27/2023
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