Ravi Tej Bommu, MD
Pathology, Medical Microbiology in Iowa City, IA. Individual provider (NPI-1).
NPI number1164085049
StatusActive
Last updated in NPPESOct 17, 2025
Details
- NPI
- 1164085049
- Entity type
- Individual (NPI-1)
- Name
- Ravi Tej Bommu
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 17, 2019
- Certification date
- Oct 17, 2025
- Last updated
- Oct 17, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ZM0300X | Pathology, Medical Microbiology | MD-54997 | IA | Yes |
Practice location
200 Hawkins DrIowa City, IA 52242-1009
Phone 319-384-9609 · Fax 319-356-2987
Mailing address
200 Hawkins DrIowa City, IA 52242-1009
Phone 319-384-9609 · Fax 319-356-2987
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