LATA T. MUNDKUR M.D. – NPI #1487645248
Internal Medicine

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.

LATA MUNDKUR is a physician located in LOWELL, MA. NPPES has assigned the NPI number 1487645248 to LATA MUNDKUR on November 02, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207R00000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine.

The NPI profile was previously updated about 15 years ago on Aug 09, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LATA MUNDKUR below.

NPI Profile for
LATA T. MUNDKUR

NPI Number
1487645248
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
LATA T. MUNDKUR
Credentials
M.D.
Primary location
817 MERRIMACK ST
SECOND FLOOR
LOWELL, MA 01854-3571
Phone: (978) 452-0672 Fax:
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Identifiers

Identifiers for LATA MUNDKUR

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERAETNAMA4328196
OTHERAETNA US HEALTHCAREMA0466975
OTHERBEECH STREETMA04-3117888
OTHERBLUE CROSS BLUE SHIELDMAJ06028
OTHERCELTICAREMA1487645248
OTHERCIGNAMA2449768
OTHERCLIAMA22D0943104
OTHERCOVENTRYMA04-3117888
OTHERFALLON COMMUNITYMA45819
OTHERFEDERAL TAX IDMA043117888
OTHERGREAT-WESTMA04-3117888
OTHERGREAT-WEST (ONE HEALTH)MA109517
OTHERHARVARD PILGRIMMA65438
OTHERMULTIPLANMA04-3117888
OTHERNEIGHBORHOOD HEALTH PLANMA0017292
OTHERNETWORK HEALTHMA970357
OTHERTRICARE-NORTHMA043117888
OTHERTUFTS HEALTH PLANMA058514
OTHERUNICARE - HEALTHY STARTMA33756
OTHERUNITED HEALTH CAREMA0401929
MEDICAIDMA3015599
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207R00000X
- Internal Medicine (Primary)
MA 58514
207Q00000X
- Family Medicine
MA 58514

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.