| Latha T Kannan, Md, Pc | |
|
6715 Birmingham Club Drive Bloomfield Hills MI 48301 | |
| (248) 353-4777 | |
| (248) 353-4235 |
| Full Name | Latha T Kannan, Md, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6715 Birmingham Club Drive, Bloomfield Hills, Michigan |
| Authorized Official Name and Position | Latha T Kannan (OWNER) |
| Authorized Official Contact | 2483534777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Latha T Kannan, Md, Pc 6715 Birmingham Club Drive Bloomfield MI 48301 Ph: (248) 353-4777 | Latha T Kannan, Md, Pc 6715 Birmingham Club Drive Bloomfield Hills MI 48301 Ph: (248) 353-4777 |
| NPI Number | 1619170644 |
|---|---|
| Provider Enumeration Date | 06/07/2007 |
| Last Update Date | 12/09/2010 |
| Medicare PECOS PAC ID | 7214918473 |
|---|---|
| Medicare Enrollment ID | O20040525001210 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619170644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | LK070401 (Michigan) | Primary |
| Provider Name | Latha T Kannan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1528015427 PECOS PAC ID: 4981685146 Enrollment ID: I20040525001278 |
| Provider Name | Lisa May Mercier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699271775 PECOS PAC ID: 6002171444 Enrollment ID: I20180605002904 |
| Provider Name | Abdiel J Ramos Mercado |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1265975742 PECOS PAC ID: 5991048837 Enrollment ID: I20190516003044 |
| Provider Name | Amar Krishna |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1710234018 PECOS PAC ID: 0840598835 Enrollment ID: I20240320002491 |
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Davicare Home Medical Services Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4889 Old Post Ct, Bloomfield Hills, MI 48301 Phone: 248-785-1000 Fax: 248-785-1001 | |
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