Organization
LATHA T KANNAN, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LATHA T KANNAN M.D. (OWNER)
(248) 353-4777
Entity
Organization
Contact information
Practice address
6715 BIRMINGHAM CLUB DRIVE, BLOOMFIELD HILLS, MI 48301
(248) 353-4777
(248) 353-4235
Mailing address
6715 BIRMINGHAM CLUB DRIVE, BLOOMFIELD, MI 48301
(248) 353-4777
(248) 353-4235
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
LK070401
MI
Other
Enumeration date
06/07/2007
Last updated
12/09/2010
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