Organization · NPI-2

Atisha Plastic Surgery, PLLC

Surgery, Plastic and Reconstructive Surgery · Troy, MI

NPI number1164370680
StatusActive
Last updated in NPPESMar 24, 2026

Details

NPI
1164370680
Entity type
Organization (NPI-2)
Legal business name
Atisha Plastic Surgery, PLLC
Organization subpart
No
Enumeration date
Mar 19, 2026
Certification date
Mar 24, 2026
Last updated
Mar 24, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2086S0122X Surgery, Plastic and Reconstructive Surgery––Yes

Practice location

1050 Wilshire Dr Ste 100
Troy, MI 48084-1526

Phone 248-232-0700

Mailing address

1921 Lone Pine Rd
Bloomfield Hills, MI 48302-2522

Phone 248-232-0700

Other practice locations

43940 Woodward Ave Ste 100
Bloomfield Hills, MI 48302-5025

Phone 248-232-0700

Authorized official

Dunya Mary Atisha
Owner
2485147724

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