DR. Lata Tavanandi Mundkur, M.D.

NPI #1487645248 in Lowell, Massachusetts

Provider Information

NPI Number: 1487645248
Entity Type: Individual
Name: DR. Lata Tavanandi Mundkur, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Nov 2, 2005
Last Updated: Aug 9, 2011

Practice Location

Address: 817 MERRIMACK ST
Address 2: SECOND FLOOR
City: Lowell
State: Massachusetts
ZIP Code: 01854-3571
Phone: (978) 452-0672

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Internal Medicine	207R00000X	Primary

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