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General NPI Number Information
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NPI Number | 1164370680
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Entity Type | Organization
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Legal Business Name | ATISHA PLASTIC SURGERY, PLLC
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Dates
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Enumeration Date | 03/19/2026
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Last Update Date | 03/19/2026
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Provider Practice Location Address
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Address Line | 1050 WILSHIRE DR STE 100
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City | TROY
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State | MI
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Zip | 48084-1526
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Country | US
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Telephone | 248-232-0700
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Fax |
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Provider Business Mailing Address
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Address Line | 1921 LONE PINE RD
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City | BLOOMFIELD HILLS
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State | MI
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Zip | 48302-2522
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Country | US
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Telephone | 248-232-0700
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. DUNYA MARY ATISHA
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Credential | MD, FACS
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Telephone | 248-514-7724
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number |
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License Number State |
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