OrganizationActive
Latha Medical PC
NPI 1699080002 · Family Medicine Physician · Detroit, MI
Provider details
- NPI number
- 1699080002
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Thulasi Divi, President(313) 366-1115
- License
- 4301062122 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
19953 Conant St
Detroit, MI 48234-1334
Phone: (313) 366-1115
Fax: (313) 366-1116
Street-level locationGet directions
Mailing address
19953 Conant St
Detroit, MI 48234-1334
Other names (DBA / former)
- Doing business as
- Metro Family Clinic
Registry dates
- Enumerated
- 2010-08-10
- Last updated
- 2010-08-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.