Individual
DR. MUKESH LATHIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
690 S TRUMBULL ST, BAY CITY, MI 48708-7692
(989) 922-4900
(989) 922-4911
Mailing address
690 S TRUMBULL ST, BAY CITY, MI 48708-7692
(989) 922-4900
(989) 922-4911
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301073076
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0982788
HEALTH PLUS
MI
01
—
260Z910350
BCBS
MI
05
—
4318073
—
MI
01
—
5888666
AETNA
—
01
—
90097
BCBS
MI
01
—
N3404800001
MEDICARE
MI
Enumeration date
06/15/2006
Last updated
04/12/2021
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