Shoma Bommena
Medical Specialty
Professional ID
- NPI: 1952610966
- PECOS ID: 4183866270
- Enrollment ID: I20130820001009
- Credential(MD, DO, DPM):
- Medical School:
- Medical School Graduation Year: 2008
Hospital Service
- Hospital CCN1: 030002
- Business Name (LBN)1: Banner - University Medical Center Phoenix
Medical Practices
- Organization Name: Banner - University Hospital Based Physicians Llc
- Group Practice ID assigned by PECOS: 1052614294
- Number of Group Practice member: 132
Location
- Address1: 1111 E Mcdowell Rd
- Address2:
- City: Phoenix
- State: Arizona
- Zip Code: 85006
- Phone Number: (602)839-2217
Location
- Address1: 1900 N Higley Rd
- Address2:
- City: Gilbert
- State: Arizona
- Zip Code: 85234
- Phone Number: (480)543-2000
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):