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Dr. Lata Tavanandi Mundkur, MD
Internal Medicine Physician in Lowell, Massachusetts
NPI 1487645248

Lata Tavanandi Mundkur is a Internal Medicine Physician based in Lowell, MA. Lata Tavanandi Mundkur practices in Lowell, MA and has the professional credentials of MD. The NPI Number for Lata Tavanandi Mundkur is 1487645248 and holds a License No. 58514 (Massachusetts).

The current practice location address for Lata Tavanandi Mundkur is 817 Merrimack St, Lowell, MA and can be reached out via phone at 978-452-0672.

Location: 817 Merrimack St, Lowell, MA, 01854-3571
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487645248
Provider Name
Lata Tavanandi Mundkur
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
817 Merrimack St, Lowell, MA, 01854-3571
Phone Number
978-452-0672
Fax Number
Provider Enumeration Date
11/02/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0466975 01 MA AETNA US HEALTHCARE
1487645248 01 MA CELTICARE
4328196 01 MA AETNA
970357 01 MA NETWORK HEALTH
J06028 01 MA BLUE CROSS BLUE SHIELD
0017292 01 MA NEIGHBORHOOD HEALTH PLAN
043117888 01 MA FEDERAL TAX ID
058514 01 MA TUFTS HEALTH PLAN
04-3117888 01 MA COVENTRY
04-3117888 01 MA GREAT-WEST
04-3117888 01 MA MULTIPLAN
3015599 05 MA
0401929 01 MA UNITED HEALTH CARE
043117888 01 MA TRICARE-NORTH
22D0943104 01 MA CLIA
2449768 01 MA CIGNA
04-3117888 01 MA BEECH STREET
109517 01 MA GREAT-WEST (ONE HEALTH)
33756 01 MA UNICARE - HEALTHY START
45819 01 MA FALLON COMMUNITY
65438 01 MA HARVARD PILGRIM
institution
Provider Business Practice Location Address Details
Address
817 Merrimack St
City
Lowell
State
Massachusetts
Zip
01854-3571
Phone Number
978-452-0672
Fax Number
person
Provider Business Mailing Address Details
Address
817 Merrimack St
City
Lowell
State
Massachusetts
Zip
01854-3571
Phone Number
978-452-0672
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
58514 (Massachusetts)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
-
Taxonomy
207R00000X
License No.
58514 (Massachusetts)
Definition
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.
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