MUKUND GUPTA (NPI# 1912972803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912972803 |
| Entity Type | Individual |
| Full Name | MUKUND GUPTA |
| Credential | MD |
| Practice Address |
585 Merrimack St Lowell Community Health Center Lowell MA 01854 |
| Mailing Address |
585-597 Merrimack Street Lowell Community Health Center Lowell MA 01854 |
| Practice Telephone | 9787467778 |
| Practice Fax Number | 9789700359 |
| Mailing Telephone | 9787467778 |
| Mailing Fax Number | 9789700359 |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2008-08-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 80239 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NEIGHBORHOOD HEALTH PLAN | 0004089 | 01 | |
| BLUE CROSS BLUE SHIELD | J14999 | 01 | |
| UNITED HEALTH CARE | 0406187 | 01 | |
| UNICARE | 042881348 | 01 | |
| BEECH STREET | 042881348 | 01 | |
| ONE HEALTH | 042881348 | 01 | |
| HARVARD PILGRIM HEALTHCAR | 692904 | 01 | |
| CHOICECARE | 042881348 | 01 | |
| CIGNA | 7371250 | 01 | |
| MA | 1305557 | 05 | |
| AETNA | 3485834 | 01 | |
| NETWORK HEALTH | 979891 | 01 | |
| TUFTS | 80239 | 01 | |
| FALLON | 32169 | 01 | |
| MA | MEDICARE PTAN | J1499901 | 01 |
| Street Address |
585 MERRIMACK ST LOWELL COMMUNITY HEALTH CENTER |
| City | LOWELL |
| State | MA |
| Zip Code | 01854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376515643 | Krishnamoorthy Baikady Rao | Internal Medicine | 585 Merrimack St, Lowell Community Health Center, Lowell, MA 01854 | 2006-02-02 |
| 1427247600 | Nichole Brianne Lepage | Counselor | 585 Merrimack St, Lowell, MA 01854-3908 | 2007-10-23 |
| 1548228455 | Catherine S. Yu | Internal Medicine | 585 Merrimack St, Lowell, MA 01854-3908 | 2006-05-02 |
| 1811961196 | Hamid Reza Danesh | Internal Medicine | 585 Merrimack St, Lowell Community Health Center, Lowell, MA 01854 | 2006-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780224246 | Alexander C Mellin | Specialist/Technologist | Costello Athletic Center, 275 Riverside Street, Lowell, MA 01854 | 2020-01-13 |
| 1831656131 | Shaquilla U Terry | Behavior Technician | 810 Broadway St, Apt 5, Lowell, MA 01854 | 2019-02-23 |
| 1073010187 | John R Dunn | Counselor | Lowell House Inc, 555 Merrimack Street, Lowell, MA 01854 | 2018-04-06 |
| 1730604661 | Grecia Aybar | Counselor | 11 White Street, Lowell, MA 01854 | 2017-08-11 |
| 1659812550 | Krystal Demmons | Counselor | 371 Varnum Ave, Lowell, MA 01854 | 2017-03-13 |
| 1891115366 | Stacey Bourbeau | Counselor | 391 Varnum Avenue Lower Level, Lowell, MA 01854 | 2014-04-23 |
| 1013270446 | Alexandra Miniati | Internal Medicine | 275 Varnum Ave Riverside Medical Group, Ste 201, Lowell, MA 01854 | 2012-06-20 |
| 1750608923 | Elisha S Bartlett | Social Worker | 391 Varnum Avenue, Lowell, MA 01854 | 2010-04-28 |
| 1871820399 | Sandy Ann Thongkhamsouk | Counselor | 391 Varnum St., Lowell, MA 01854 | 2009-11-04 |
| 1427299007 | Kristin A. Larson | Nurse Practitioner | 220 Pawtucket St Suite 300, University Crossing, Lowell, MA 01854 | 2009-03-12 |
| Find all providers in zip 01854 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376006908 | Joshi Medical Services, PC | Internal Medicine | 16 Pine St Ste 4, Lowell, MA 01851-3100 | 2019-04-10 |
| 1588181259 | Katelyn Elizabeth Burke | Internal Medicine | 33 Bartlett St Ste 504, Lowell, MA 01852-1319 | 2017-08-24 |
| 1013270446 | Alexandra Miniati | Internal Medicine | 275 Varnum Ave Riverside Medical Group, Ste 201, Lowell, MA 01854 | 2012-06-20 |
| 1356642862 | Royal Care Medical Center Inc | Internal Medicine | 151 Warren St, Lowell, MA 01852-2647 | 2010-11-15 |
| 1710163837 | Mohammad Samir Al-kharrat | Internal Medicine | 17648 Morse St, Lowell, IN 46356-1420 | 2008-01-18 |
| 1467647024 | Nafees F Khusro | Internal Medicine | 1230 Bridge Street, Medical Center of Greater Lowell, Lowell, MA 02026-6838 | 2007-09-07 |
| 1932232857 | Seema Gupta | Internal Medicine | 12 Wood St, Lowell, MA 01851-1532 | 2007-03-13 |
| 1386787844 | Ilene Sandra Cohen | Internal Medicine | 55 Technology Dr, Lowell, MA 01851-5203 | 2007-02-15 |
| 1811905961 | Ajay Nanavati | Internal Medicine | 275 Varnum Ave Ste 201, Riverside Medical Group, Lowell, MA 01854 | 2006-08-04 |
| 1053346692 | Mill City Medical Group Ltd | Internal Medicine | 45 Palmer Street, Lowell, MA 01852 | 2006-07-12 |
| Find all providers in LOWELL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.