Organization Active NPI

Mukesh Lathia MD, PLLC

  • Psychiatry Physician
  • Saginaw, MI
National Provider Identifier
1760745780
Registry record updated Jun 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ML073076 Issued in MI
Legal business name
MUKESH LATHIA MD, PLLC
Practice address
4404 Quail Hollow CT
Saginaw, MI 48603-8622
Phone
(989) 249-7662
NPI assigned
Jun 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2012

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

Authorized official

Name
Dr. Mukesh Lathia, MD
Title
Ceo
Phone
(989) 249-7662

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X ML073076 MI Primary

Addresses

Primary practice location

4404 Quail Hollow CT
Saginaw, MI 48603-8622

Mailing address

4404 Quail Hollow CT
Saginaw, MI 48603-8622
Phone (989) 249-7662

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1340582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340582400000",
    "number": "1760745780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4404 QUAIL HOLLOW CT",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486038622",
            "telephone_number": "989-249-7662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4404 QUAIL HOLLOW CT",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486038622",
            "telephone_number": "989-249-7662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUKESH LATHIA MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-25",
        "last_updated": "2012-06-25",
        "status": "A",
        "authorized_official_last_name": "LATHIA",
        "authorized_official_first_name": "MUKESH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "989-249-7662",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "ML073076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; 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.