Kannan, Latha Thiruchelvan

Kannan, Latha Thiruchelvan is an individual health care provider with primary practice located at 22972 Lahser Rd , Southfield MI 48034-4408. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Kannan, Latha Thiruchelvan can be contacted via phone (248) 353-4777.

Contact Information

Primary practice address
22972 Lahser Rd Southfield MI 48034-4408
Fax: (248) 353-4235
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 4301070401 Michigan

Profile Details

NPI number 1528015427
LBN Legal business name Kannan, Latha Thiruchelvan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528015427 NPPES
Michigan MEDICAID 4646584

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