| Dr Lata Tavanandi Mundkur, MD | |
|
817 Merrimack St, Second Floor, Lowell, MA 01854-3571 | |
| (978) 452-0672 | |
| Not Available |
| Full Name | Dr Lata Tavanandi Mundkur |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Location | 817 Merrimack St, Lowell, Massachusetts |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487645248 | NPI | - | NPPES |
| 0466975 | Other | MA | AETNA US HEALTHCARE |
| 1487645248 | Other | MA | CELTICARE |
| 4328196 | Other | MA | AETNA |
| 970357 | Other | MA | NETWORK HEALTH |
| J06028 | Other | MA | BLUE CROSS BLUE SHIELD |
| 0017292 | Other | MA | NEIGHBORHOOD HEALTH PLAN |
| 043117888 | Other | MA | FEDERAL TAX ID |
| 058514 | Other | MA | TUFTS HEALTH PLAN |
| 04-3117888 | Other | MA | COVENTRY |
| 04-3117888 | Other | MA | GREAT-WEST |
| 04-3117888 | Other | MA | MULTIPLAN |
| 3015599 | Medicaid | MA | |
| 0401929 | Other | MA | UNITED HEALTH CARE |
| 043117888 | Other | MA | TRICARE-NORTH |
| 22D0943104 | Other | MA | CLIA |
| 2449768 | Other | MA | CIGNA |
| 04-3117888 | Other | MA | BEECH STREET |
| 109517 | Other | MA | GREAT-WEST (ONE HEALTH) |
| 33756 | Other | MA | UNICARE - HEALTHY START |
| 45819 | Other | MA | FALLON COMMUNITY |
| 65438 | Other | MA | HARVARD PILGRIM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 58514 (Massachusetts) | Secondary |
| 207R00000X | Internal Medicine | 58514 (Massachusetts) | Primary |
| Mailing Address | Practice 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 |
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 |