Active NPIIndividual provider

Dr. Lakshmi Mudunuri, MD

Healthcare Provider in Medford, Massachusetts

NPI Number1508847823
Practice location
170 Governors Ave, Medford, MA 02155-1643
Fax
781-306-6146
Last updated
May 19, 2011

Lakshmi Mudunuri is a Healthcare Provider based in Medford, MA. Lakshmi Mudunuri practices in Medford, MA and has the professional credentials of MD. The NPI Number for Lakshmi Mudunuri is 1508847823 and holds a License No. 58025 (MA). The current practice location address for Lakshmi Mudunuri is 170 Governors Ave, Medford, MA 02155-1643 and can be reached out via phone at 781-306-6163 and via fax at 781-306-6146.

Provider Profile Details

NPI Number
1508847823
Provider Name
Lakshmi Mudunuri
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
170 Governors Ave, Medford, MA 02155-1643
Phone Number
781-306-6163
Fax Number
781-306-6146
Primary Taxonomy
Healthcare Provider · 2084P0805X
Sole Proprietor
No
Provider Enumeration Date
November 14, 2005
Last Update Date
May 19, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
170 Governors Ave
Medford, MA 02155-1643
Zip
02155-1643
Phone Number
781-306-6163
Fax Number
781-306-6146
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
33 Bellis Cir
Cambridge, MA 02140-3207
City
Cambridge
State
MA
Zip
02140-3207
Phone Number
781-306-6163
Fax Number
781-306-6146

License Information

License Number
58025
License State
MA
Taxonomy
· 2084P0805X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Lakshmi Mudunuri, MD?

The NPI number of Dr. Lakshmi Mudunuri, MD is 1508847823. It was assigned on November 14, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Lakshmi Mudunuri, MD?

Dr. Lakshmi Mudunuri, MD is registered under the primary taxonomy Healthcare Provider (code 2084P0805X), licensed in MA under license number 58025.

Where does Dr. Lakshmi Mudunuri, MD practice?

The practice location is 170 Governors Ave, Medford, MA 02155-1643. The office can be reached at 781-306-6163 (phone) or 781-306-6146 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1508847823 directly on the NPPES registry website.

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