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NPI Code Detail

MEDICARE: DR. LEENA YAQOO ATISHA DDS

MEDICARE: DR. LEENA YAQOO ATISHA DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist2901602594MI

General Provider Information

NPI Number : 1891680377
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LEENA YAQOO ATISHA DDS
Provider Business Mailing Address
First Line : 39140 DURAND CT
Second Line :
City : STERLING HEIGHTS
State : MI
Zip : 48310-2403
Country : US
Telephone Number : 586-940-0000
Fax Number :
Provider Business Practice Location Address
First Line : 102 W HIGHLAND RD
Second Line :
City : HOWELL
State : MI
Zip : 48843-1159
Country : US
Telephone Number : 586-940-0000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2025
Last Update Date : 12/01/2025

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