Dr Lata Tavanandi Mundkur, MD - Internal Medicine in Lowell, MA

Dr Lata Tavanandi Mundkur, MD is a Internal Medicine physician based in Lowell, Massachusetts. Dr Lata Tavanandi Mundkur is licensed to practice in Massachusetts (license number 58514) and her current practice location is 817 Merrimack St, Second Floor, Lowell, Massachusetts. She can be reached at her office (for appointments etc.) via phone at (978) 452-0672.

NPI number for Dr Lata Tavanandi Mundkur is 1487645248 and her current mailing address is 817 Merrimack St, Second Floor, Lowell, Massachusetts. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1487645248.

Contact Information

Dr Lata Tavanandi Mundkur, MD
817 Merrimack St, Second Floor,
Lowell, MA 01854-3571
(978) 452-0672
Not Available



Physician's Profile

Full NameDr Lata Tavanandi Mundkur
GenderFemale
SpecialityInternal Medicine
Location817 Merrimack St, Lowell, Massachusetts
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1487645248
  • Provider Enumeration Date: 11/02/2005
  • Last Update Date: 08/09/2011

Medical Identifiers

Medical identifiers for Dr Lata Tavanandi Mundkur such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487645248NPI-NPPES
0466975OtherMAAETNA US HEALTHCARE
1487645248OtherMACELTICARE
4328196OtherMAAETNA
970357OtherMANETWORK HEALTH
J06028OtherMABLUE CROSS BLUE SHIELD
0017292OtherMANEIGHBORHOOD HEALTH PLAN
043117888OtherMAFEDERAL TAX ID
058514OtherMATUFTS HEALTH PLAN
04-3117888OtherMACOVENTRY
04-3117888OtherMAGREAT-WEST
04-3117888OtherMAMULTIPLAN
3015599MedicaidMA
0401929OtherMAUNITED HEALTH CARE
043117888OtherMATRICARE-NORTH
22D0943104OtherMACLIA
2449768OtherMACIGNA
04-3117888OtherMABEECH STREET
109517OtherMAGREAT-WEST (ONE HEALTH)
33756OtherMAUNICARE - HEALTHY START
45819OtherMAFALLON COMMUNITY
65438OtherMAHARVARD PILGRIM

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 58514 (Massachusetts)Secondary
207R00000XInternal Medicine 58514 (Massachusetts)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Lata Tavanandi Mundkur is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Lata Tavanandi Mundkur, MD
817 Merrimack St, Second Floor,
Lowell, MA 01854-3571

Ph: (978) 452-0672
Dr Lata Tavanandi Mundkur, MD
817 Merrimack St, Second Floor,
Lowell, MA 01854-3571

Ph: (978) 452-0672

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Internal Medicine Doctors in Lowell, MA

Alexandra Miniati, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 275 Varnum Ave Riverside Medical Group, Ste 201, Lowell, MA 01854
Phone: 978-452-9700    Fax: 978-441-6075
Dr. Cynthia Lynn Manning, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 295 Varnum Ave, Lowell, MA 01854
Phone: 978-937-6439    
Mrs. Frances M Morse, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 275 Varnum Ave, Ste 101, Lowell, MA 01854
Phone: 978-459-0531    Fax: 978-459-8389
Mrs. Sara Larson Clay, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 275 Varnum Ave, Ste 201, Lowell, MA 01854
Phone: 978-452-9700    Fax: 978-441-6075
Riad Ettunsi,
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 295 Varnum Ave, Lowell, MA 01854
Phone: 978-937-6000    
Peter S Bradshaw, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 77 E Merrimack St, Suite 15, Lowell, MA 01852
Phone: 978-459-3341    
Seema Sahib, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 295 Varnum Ave # General, Lowell, MA 01854
Phone: 978-937-6439    

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