Lata T. Mundkur MD

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

LATA T. MUNDKUR MD

Practice address

817 Merrimack St
Lowell, MA 01854-3571

Phone

(978) 452-0672

NPI assigned

Jan 5, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Pravin Vasudeva Mundkur

Title

Office Manager

Phone

(978) 452-0672

Specialties & licenses 1

Addresses

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/812e0a2c-a2ee-43b3-baef-01bf949ae18f/

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lata Tavanandi Mundkur, M.D.

  • Internal Medicine Physician
  • Lowell, MA
  • NPI 1487645248
  NPD (past)

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

{
    "created_epoch": "1199491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199491200000",
    "number": "1285819508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 MERRIMACK ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018543571",
            "telephone_number": "978-452-0672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 MERRIMACK ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018543571",
            "telephone_number": "978-452-0672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LATA T. MUNDKUR MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-05",
        "last_updated": "2008-01-05",
        "status": "A",
        "authorized_official_last_name": "MUNDKUR",
        "authorized_official_first_name": "PRAVIN",
        "authorized_official_middle_name": "VASUDEVA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "978-452-0672",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jayson Vincent Lariviere
• Kristin A. Larson, NP
• Margaret M. Lascola, L.I.C.S.W.
• Rebecca Lassow
• Falisha Lat
• Latino Health Institute Inc
• Kristin Latino, OTR/L
• Janice Lau, MA, CF-SLP
• Christopher Laureano
• Gloria Lauture

• Primary Care Clinic/Center in Lowell, MA
• Providers in Lowell, MA by specialty
• Primary Care Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2008; 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.