Dunya Mary Atisha in Detroit - Plastic And Reconstructive Surgery

Dunya Mary Atisha - NPI 1679694400

Dunya Mary Atisha is a Plastic And Reconstructive Surgery in Detroit, Michigan. Dunya Mary Atisha practices all healthcare services and medical treatments related to Plastic And Reconstructive Surgery. The NPI Number for Dunya Mary Atisha is 1679694400. The last update date is 2016-02-16.

Dunya Mary Atisha's current location address is 2799 W Grand Blvd, Detroit, Michigan. You can contact this provider via phone number 3139162683. The mailing address for Dunya Mary Atisha is 2799 W Grand Blvd, Detroit, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Dunya Mary Atisha
Address 2799 W Grand Blvd, Detroit, Michigan
Phone Number 3139162683
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1679694400
Provider Enumeration Date 2007-04-02
Last Updated Date 2016-02-16

Provider Mailing Address Detail

Address 2799 W Grand Blvd
City Detroit
State Michigan (MI)
Post Code 482022608
Phone Number 3139162683
Fax Number

Provider's Primary Taxonomy Detail

Speciality Plastic And Reconstructive Surgery
Taxonomy 2086S0122X
Licence No ME116674
Definition:
A surgeon who specializes in plastic and reconstructive surgery.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
9227400 FL --
14R37 FL BLUE CROSS BLUE SHIELD

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FAQs about Dunya Mary Atisha

What is the Dunya Mary Atisha's 1679694400?

The Dunya Mary Atisha's NPI (National Provider Identifier) Number is 1679694400. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Dunya Mary Atisha is located?

The Dunya Mary Atisha is situated at the following address: 2799 W Grand Blvd, Detroit, MI, 482022608.

What is Dunya Mary Atisha's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Dunya Mary Atisha is Plastic And Reconstructive Surgery, and the taxonomy classification code that categorizes this area of expertise is 2086S0122X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1679694400 to Dunya Mary Atisha?

The Centers for Medicare & Medicaid Services originally issued the 1679694400 to Dunya Mary Atisha on 2007-04-02.

As of what date was the information pertaining to Dunya Mary Atisha, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Dunya Mary Atisha, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2016-02-16.

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