MICHIGAN COSMETIC & RECONSTRUCTIVE SURGERY PLLC
NPI 1902072952
Surgery - Plastic and Reconstructive Surgery in Southfield, MI

Active since April 30, 2008
29110 INKSTER RD, STE 250, SOUTHFIELD, MI 48034(248) 948-5500(248) 948-8085 Get Directions Write a Review

NPPES record last updated: April 30, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michigan Cosmetic & Reconstructive Surgery Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHIGAN COSMETIC & RECONSTRUCTIVE SURGERY PLLC (NPI 1902072952) is a healthcare organization registered as a plastic and reconstructive surgery in Southfield, Michigan and active in the NPI registry since April 2008. The organization lists Mariam Awada, President, as its authorized official.

NPPES Registry Identity

NPI1902072952
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NameMICHIGAN COSMETIC & RECONSTRUCTIVE SURGERY PLLC
Location Address29110 INKSTER RD, STE 250Southfield, MI 48034-1098
Mailing AddressPo Box 673053Detroit, MI 48267-3053 · (248) 948-5500 · Fax (248) 948-8085
Fax(248) 948-8085
Organization SubpartNo
Authorized OfficialMariam AwadaPresident · (248) 948-5500
Enumeration DateApril 30, 2008
NPI 1902072952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
Definition
A surgeon who specializes in plastic and reconstructive surgery.
29110 INKSTER RD, Southfield, MI 48034

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Ambulatory Surgical)
29110 INKSTER RD, SUITE 100
SOUTHFIELD, MI 48034

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michigan Cosmetic & Reconstructive Surgery PLLC's NPI number?

The NPI number for Michigan Cosmetic & Reconstructive Surgery PLLC is 1902072952. It was assigned to this organization in the NPPES registry on April 30, 2008.

Where is Michigan Cosmetic & Reconstructive Surgery PLLC located?

Michigan Cosmetic & Reconstructive Surgery PLLC is located at 29110 Inkster Rd Ste 250, Southfield, MI 48034. The listed phone number is (248) 948-5500.

What is Michigan Cosmetic & Reconstructive Surgery PLLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

When was this NPI record last updated?

The NPPES record for Michigan Cosmetic & Reconstructive Surgery PLLC was last updated on April 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.