# LATHA T KANNAN, MD, PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619170644
- **Authorized official:** DR. LATHA T KANNAN M.D. (OWNER)
- **Authorized official phone:** (248) 353-4777

## Contact information

- **Practice address:** 6715 BIRMINGHAM CLUB DRIVE, BLOOMFIELD HILLS, MI 48301
- **Practice address phone:** (248) 353-4777
- **Practice address fax:** (248) 353-4235
- **Mailing address:** 6715 BIRMINGHAM CLUB DRIVE, BLOOMFIELD, MI 48301
- **Mailing address phone:** (248) 353-4777
- **Mailing address fax:** (248) 353-4235

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | LK070401 | MI | Yes |

## Other

- **Enumeration date:** 06/07/2007
- **Last updated:** 12/09/2010