| Lata T. Mundkur Md | |
|
817 Merrimack St Lowell MA 01854-3571 | |
| (978) 452-0672 | |
| Not Available |
| Full Name | Lata T. Mundkur Md |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 817 Merrimack St, Lowell, Massachusetts |
| Authorized Official Name and Position | Pravin Vasudeva Mundkur (OFFICE MANAGER) |
| Authorized Official Contact | 9784520672 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lata T. Mundkur Md 817 Merrimack St Lowell MA 01854-3571 Ph: (978) 452-0672 | Lata T. Mundkur Md 817 Merrimack St Lowell MA 01854-3571 Ph: (978) 452-0672 |
| NPI Number | 1285819508 |
|---|---|
| Provider Enumeration Date | 01/05/2008 |
| Last Update Date | 01/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285819508 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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