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Search › Indiana › 207RP1001X

Anuradha Bommakanti, M.D

NPI 1003265455 · on the registry since 2016

Practice

Address
7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone
(260) 435-7001
Organisation at this address
Walgreen Co
Iom Health System Lp
Iom Health System Lp
Iom Health System Lp
Iom Health Systems, Lp
Inferred from a shared address, not stated in the registry.
Clinicians at this address
152

Additional practice sites

  • 4301 W Markham St # 532, Little Rock, AR
  • 12902 Usf Magnolia Dr, Tampa, FL

Registry record

Primary taxonomy
207RP1001X
207RP1001X
Also registered as
207RC0200X
207R00000X
390200000X
207RC0200X
207RP1001X
207R00000X
207RC0200X
207RP1001X
Licence states on file
FL, AR, IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-09-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana