Individual
DR. LATA TAVANANDI MUNDKUR
Active
Individual
DR. LATA TAVANANDI MUNDKUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
58514
MA
207R00000X
Internal Medicine Physician
Primary
58514
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0017292
NEIGHBORHOOD HEALTH PLAN
MA
01
—
04-3117888
COVENTRY
MA
01
—
0401929
UNITED HEALTH CARE
MA
01
—
043117888
FEDERAL TAX ID
MA
01
—
0466975
AETNA US HEALTHCARE
MA
01
—
058514
TUFTS HEALTH PLAN
MA
01
—
109517
GREAT-WEST (ONE HEALTH)
MA
01
—
1487645248
CELTICARE
MA
01
—
22D0943104
CLIA
MA
01
—
2449768
CIGNA
MA
05
—
3015599
—
MA
01
—
33756
UNICARE - HEALTHY START
MA
01
—
4328196
AETNA
MA
01
—
45819
FALLON COMMUNITY
MA
01
—
65438
HARVARD PILGRIM
MA
01
—
970357
NETWORK HEALTH
MA
01
—
J06028
BLUE CROSS BLUE SHIELD
MA
Enumeration date
11/02/2005
Last updated
08/09/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up