Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Latha Medical PC

Organization Family Medicine Physician · NPI 1699080002

Latha Medical PC provides Family Medicine Physician services in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2010.

Licensed in
MI
In the registry since
2010
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

19953 Conant St
Detroit, MI 48234-1334 Not confirmed with CMS for 16 years — call before visiting
Phone: (313) 366-1115
Fax: (313) 366-1116
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4301062122 (MI)

Record details

NPI number1699080002
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thulasi Divi — President · (313) 366-1115
Other names Metro Family Clinic
NPI enumeratedAugust 10, 2010
Last updated in NPPESAugust 10, 2010
Mailing address19953 Conant St, Detroit, MI 48234-1334

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