Organization Active NPI

Optimal Consultants Group, LLC

  • Internal Medicine Physician
  • Southfield, MI
National Provider Identifier
1366808438
Registry record updated Mar 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
OPTIMAL CONSULTANTS GROUP, LLC
Practice address
22972 Lahser Rd
Southfield, MI 48033-4408
Phone
(248) 225-2072
Fax
(248) 792-2128
NPI assigned
Jan 5, 2016
Last updated
Mar 7, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Latha Kannan, M.D.
Title
Owner
Phone
(248) 225-2072

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MI Primary

Addresses

Primary practice location

22972 Lahser Rd
Southfield, MI 48033-4408

Mailing address

6715 Birmingham Club Dr
Bloomfield Hills, MI 48301-3116
Phone (248) 225-2072

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1451952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457308800000",
    "number": "1366808438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6715 BIRMINGHAM CLUB DR",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483013116",
            "telephone_number": "248-225-2072",
            "fax_number": "248-792-2128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22972 LAHSER RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480334408",
            "telephone_number": "248-225-2072",
            "fax_number": "248-792-2128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL CONSULTANTS GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-05",
        "last_updated": "2016-03-07",
        "status": "A",
        "authorized_official_last_name": "KANNAN",
        "authorized_official_first_name": "LATHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-225-2072",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.