Individual
DR. CHANDRA S BOMMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1613 N MILLS AVE, ORLANDO, FL 32803-1849
(407) 894-4474
(407) 894-7136
Mailing address
1613 N MILLS AVE, ORLANDO, FL 32803-1849
(407) 894-4474
(407) 894-7136
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D0059614
MD
207RC0000X
Cardiovascular Disease Physician
0101243472
VA
207RC0000X
Cardiovascular Disease Physician
MD.200418
LA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
ME106874
FL
Other
Enumeration date
08/21/2006
Last updated
08/09/2016
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