DR. M.D. Lata Tavanandi Mundkur, NPI 1487645248
Internal Medicine Physician in Lowell, MA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1487645248
NPI Entity Type Individual
Provider Name DR. M.D. Lata Tavanandi Mundkur
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 817 Merrimack St, Second Floor, Lowell, MA, US
Provider Mailing Address 817 Merrimack St, Second Floor, Lowell, MA, US, 018543571
Is Sole Proprietor? Yes
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Primary Taxonomy

Taxonomy Code

207R00000X

Taxonomy Name Internal Medicine Physician
Classification

Internal Medicine

Group

Allopathic & Osteopathic Physicians

License No. 58514
License State MA
Description A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Business Address

DR. M.D. Lata Tavanandi Mundkur
817 Merrimack St
Second Floor

Lowell, MA, US

Phone: 978-452-0672

Mailing Address

DR. M.D. Lata Tavanandi Mundkur
817 Merrimack St
Second Floor
Lowell, MA, US
ZIP 018543571
Phone: 978-452-0672

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

207Q00000X

Allopathic & Osteopathic Physicians

Family Medicine

58514 MA No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
0466975 MA AETNA US HEALTHCARE 01
1487645248 MA CELTICARE 01
4328196 MA AETNA 01
970357 MA NETWORK HEALTH 01
J06028 MA BLUE CROSS BLUE SHIELD 01
0017292 MA NEIGHBORHOOD HEALTH PLAN 01
043117888 MA FEDERAL TAX ID 01
058514 MA TUFTS HEALTH PLAN 01
04-3117888 MA COVENTRY 01
04-3117888 MA GREAT-WEST 01
04-3117888 MA MULTIPLAN 01
3015599 MA MEDICAID 05
0401929 MA UNITED HEALTH CARE 01
043117888 MA TRICARE-NORTH 01
22D0943104 MA CLIA 01
2449768 MA CIGNA 01
04-3117888 MA BEECH STREET 01
109517 MA GREAT-WEST (ONE HEALTH) 01
33756 MA UNICARE - HEALTHY START 01
45819 MA FALLON COMMUNITY 01
65438 MA HARVARD PILGRIM 01

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