MICHIGAN COSMETIC & RECONSTRUCTIVE SURGERY PLLC


Address: 29110 Inkster Rd, Ste 250, Southfield, MI 48034-1098
Phone: 2489485500

MICHIGAN COSMETIC & RECONSTRUCTIVE SURGERY PLLC (NPI# 1902072952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902072952
Entity Type Organization
Organization Name MICHIGAN COSMETIC & RECONSTRUCTIVE SURGERY PLLC
Practice Address 29110 Inkster Rd
Ste 250
Southfield
MI 48034-1098
Mailing Address Po Box 673053
Detroit
MI 48267-3053
Practice Telephone 2489485500
Practice Fax Number 2489488085
Mailing Telephone 2489485500
Mailing Fax Number 2489488085
Enumeration Date 2008-04-30
Last Update Date 2008-04-30
Authorized Official Name MARIAM AWADA (PRESIDENT)
Authorized Official Telephone 2489485500
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0122X Surgery
Specialization: Plastic and Reconstructive Surgery
Allopathic & Osteopathic Physicians

Office Location

Street Address 29110 INKSTER RD
STE 250
City SOUTHFIELD
State MI
Zip Code 48034-1098

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639541303 Surgical Center of Southfield LLC Clinic/Center 29110 Inkster Rd, Suite 100, Southfield, MI 48034-1098 2015-10-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780219196 I. R. Horn & Associates LLC Community/Behavioral Health 29623 Norhtwestern Hwy Suite 5, Southfield, MI 48034 2020-03-05
1003378753 Alexis Shivers Physical Therapy Assistant 27500 Lahser Rd, Southfield, MI 48034 2019-04-02
1598257768 El-abbadi Pediatric Clinic Pediatrics 24676 Lahser Road, Southfield, MI 48034 2018-06-04
1689166894 Recore Rehabilitation Services Clinic/Center 25899 W 12 Mile Rd # 340, Southfield, MI 48034 2018-06-04
1578063749 El-abbadi Healthcare Center Clinic/Center 27403 Lahser Rd, Southfield, MI 48034 2018-02-14
1063924819 Diagnostic Hematology, PC Clinical Medical Laboratory 24725 W. Twelve Mile Road, Suite 118, Southfield, MI 48034 2017-11-02
1962929125 Toms Holistic Home Visits Pllc Clinic/Center 28675 Franklin Rd, Suite 217, Southfield, MI 48034 2017-08-28
1265956940 Abbadi Healthcare Pharmacy 27402 Lahser Road, Southfield, MI 48034 2017-08-03
1720517113 Theramedic Home Health Care LLC Home Health 26400 W. 12 Mile Rd, Suite 80, Southfield, MI 48034 2017-06-08
1538695804 Adrienne Rutherford Occupational Therapist 25999 Franklin Pointe Dr, Southfield, MI 48034 2017-05-05
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Taxonomy Information

Taxonomy Code 2086S0122X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Plastic and Reconstructive Surgery

Taxonomy Definition

A surgeon who specializes in plastic and reconstructive surgery.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518184175 Halil Ibrahim Canter Surgery 16001 West 9 Mile Rd., 3 Fl Fischer Ctr Providence Hosp. Craniofacial Inst., Southfield, MI 48075 2007-04-18
1144618075 Derosa Plastic Surgery, Pllc Surgery 22401 Foster Winter Dr, Southfield, MI 48075-3724 2014-12-30
1851539357 Eti Gursel Md PC Surgery 26699 W 12 Mile Rd, Suite 201 248-358-1491, Southfield, MI 48034-1578 2009-01-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1629528765 Paragon Health, P.C. Surgery 8175 Creekside Dr Ste 100, Portage, MI 49024-5370 2016-10-13
1487091989 Trevor K O'brien Surgery 4110 Copper Ridge Dr Ste 242, Traverse City, MI 49684-6721 2013-05-24
1851689525 Robert Moore Oneal Surgery 501 Onondaga St, Ann Arbor, MI 48104-2606 2011-07-15
1285756148 Andrea Emma Van Pelt Surgery 4070 Lake Drive Se, Suite 202, Grand Rapids, MI 49546 2007-04-04
1083741367 Kenneth Wolf Surgery 1990 Union Lake Rd Ste 200, Commerce Township, MI 48382-2200 2007-02-27
1972630259 Lauran Bryan Surgery 26711 Woodward Ave Ste Ll1, Huntington Woods, MI 48070-1370 2007-02-27
1689761439 John J Iacobucci Surgery 221 Michigan St Ne Ste 300, Grand Rapids, MI 49503-2537 2006-10-05
1710996319 Ewa D Komorowska-timek Surgery 3855 Burton St Se Ste A, Grand Rapids, MI 49546-5816 2006-08-05
1689689259 Milena Diana Lambie Surgery 27750 Middlebelt Rd Ste 150, Farmington Hills, MI 48334-5007 2006-07-30
1891739363 Benjamin P Rechner Md PC Surgery 985 Parchment Dr Se, Grand Rapids, MI 49546-3659 2006-06-15
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Competitor

Search similar providers

City SOUTHFIELD
Zip Code 48034

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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