National Provider Identifier Database

LAKSHMI MUDUNURI, MD – NPI #1508847823
Geriatric Psychiatry

Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients.


Contact Information

LAKSHMI MUDUNURI, MD
170 GOVERNORS AVE
MEDFORD, MA02155-1643
Phone: 781-306-6163
Fax: 781-306-6146
Website:
Specialty Taxonomy Code
* Geriatric Psychiatry 2084P0805X

* Indicates primary specialty

NPI Profile & details for LAKSHMI MUDUNURI

NPI Number 1508847823
Credentials MD
Entity Individual
Enumeration date 11/14/2005
Last updated 05/19/2011 - About 15 years ago
Sole proprietor1 No
Identifiers
  • MA License #: 58025
  • MA Medicaid: 3027350
  • Other: 058025 TUFTS
  • MA Other: J06711 BCBS
  • MA Other: 15-80089 EVERCARE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for LAKSHMI MUDUNURI, MD

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