Lata Tadikonda Stavropoulos, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD071099L Issued in PA

Practice address

707 Sturbridge Dr
Bryn Mawr, PA 19010-2082

Phone

(610) 527-9676

NPI assigned

May 8, 2010

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Dr. Lata Tadikonda Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1273276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273276800000",
    "number": "1093033557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 STURBRIDGE DR",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190102082",
            "telephone_number": "610-527-9676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 STURBRIDGE DR",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190102082",
            "telephone_number": "610-527-9676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAVROPOULOS",
        "first_name": "LATA",
        "middle_name": "TADIKONDA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-08",
        "last_updated": "2010-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD071099L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LATA",
            "last_name": "TADIKONDA",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ran Yehuda Stark, M.D.
• Meghan Noel Starner
• Jenny Jane Starosta, PHD
• Katharine Anne Starrantino, LCSW
• Emily Staudte, LMT
• Amanda Stearns, PA-C
• Jennifer Shaw Stearns, MD
• John Steers, MD
• Gina Marie Stefanelli, D.O.
• Neza Lee Stefanic

• Internal Medicine Physician in Bryn Mawr, PA
• Providers in Bryn Mawr, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.