MICHIGAN COSMETIC & RECONSTRUCTIVE – NPI #1699805556
Plastic Surgery

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

MICHIGAN COSMETIC & RECONSTRUCTIVE is a plastic surgeon located in SOUTHFIELD, MI. NPPES has assigned the NPI number 1699805556 to MICHIGAN COSMETIC & RECONSTRUCTIVE on March 07, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208200000X from the Health Care Provider Taxonomy code set, which is classified as Plastic Surgery.

The NPI profile was previously updated about 18 years ago on Apr 20, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MICHIGAN COSMETIC & RECONSTRUCTIVE below.

NPI Profile for
MICHIGAN COSMETIC & RECONSTRUCTIVE

NPI Number
1699805556
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MICHIGAN COSMETIC & RECONSTRUCTIVE
Primary location
30603 SOUTHFIELD RD
SOUTHFIELD, MI 48076-7729
Phone: (248) 540-1900 Fax: (248) 767-8706
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MARIAM AWADA
OWNER
Phone: (248) 540-1900
Updated
Identifiers

Identifiers for MICHIGAN COSMETIC & RECONSTRUCTIVE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERSTATE LICENSEMA4301082433
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208200000X
- Plastic Surgery (Primary)
MI 4301082433

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.