DR. LATA TAVANANDI MUNDKUR M.D.
NPI 1487645248
Internal Medicine in Lowell, MA

Active since November 02, 2005
817 MERRIMACK ST, SECOND FLOOR, LOWELL, MA 01854(978) 452-0672 Get Directions Write a Review

NPPES record last updated: August 9, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Lata Tavanandi Mundkur M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LATA TAVANANDI MUNDKUR M.D. (NPI 1487645248) is an individual internal medicine provider in Lowell, Massachusetts, licensed in Massachusetts (58514) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1487645248
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. LATA TAVANANDI MUNDKURCredential: M.D.
Location Address817 MERRIMACK ST, SECOND FLOORLowell, MA 01854-3571
Mailing Address817 Merrimack St, Second FloorLowell, MA 01854-3571 · (978) 452-0672
Sole ProprietorYes
Enumeration DateNovember 2, 2005
Last NPPES UpdateAugust 9, 2011
NPI 1487645248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MA · 58514
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.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 58514 (MA)
817 MERRIMACK ST, Lowell, MA 01854

Other Identifiers 23

OtherJ06028MA · Blue Cross Blue Shield
Other109517MA · Great-west (one Health)
Other65438MA · Harvard Pilgrim
Medicaid3015599MA
Other043117888MA · Federal Tax Id
Other058514MA · Tufts Health Plan
Other33756MA · Unicare - Healthy Start
Other04-3117888MA · Great-west
Other04-3117888MA · Multiplan
Other04-3117888MA · Coventry
Other1487645248MA · Celticare
Other0017292MA · Neighborhood Health Plan
Other0401929MA · United Health Care
Medicare UPINA58685MA
Other970357MA · Network Health
Other4328196MA · Aetna
Medicare ID-Type UnspecifiedJ06028MA
Other04-3117888MA · Beech Street
Other043117888MA · Tricare-north
Other0466975MA · Aetna Us Healthcare
Other22D0943104MA · Clia
Other2449768MA · Cigna
Other45819MA · Fallon Community

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery
817 MERRIMACK ST
LOWELL, MA 01854
Podiatrist
817 MERRIMACK ST
LOWELL, MA 01854
Podiatrist (Primary Podiatric Medicine)
817 MERRIMACK ST
LOWELL, MA 01854
Specialist
817 MERRIMACK ST, SUITE 1B
LOWELL, MA 01854
Orthopaedic Surgery
817 MERRIMACK ST
LOWELL, MA 01854
Clinic/Center (Primary Care)
817 MERRIMACK ST
LOWELL, MA 01854
Internal Medicine
817 MERRIMACK ST
LOWELL, MA 01854
Orthopaedic Surgery
817 MERRIMACK ST
LOWELL, MA 01854

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lata Mundkur's NPI number?

The NPI number for Lata Mundkur is 1487645248. It was assigned to this individual provider in the NPPES registry on November 2, 2005.

Where is Lata Mundkur located?

Lata Mundkur practices at 817 Merrimack St Second Floor, Lowell, MA 01854. The listed phone number is (978) 452-0672.

What is Lata Mundkur's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Lata Mundkur was last updated on August 9, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.