Aesthetic Theory PC

Primary specialty

Obesity Medicine (Preventive Medicine) PhysicianTaxonomy code 2083B0002X

Legal business name

AESTHETIC THEORY PC

Doing business as

Aesthetic Theory Medspa

Practice address

3631 S Baldwin Rd
Lake Orion, MI 48359-1506

Phone

(248) 499-9106

Fax

(248) 294-1351

NPI assigned

Sep 24, 2024

Last updated

Sep 24, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Malaz Alatassi, MD

Title

Physician

Phone

(248) 953-0526

Specialties & licenses 1

Addresses

Other names 1

• Aesthetic Theory Medspa Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1727136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1619794369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3631 S BALDWIN RD",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483591506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3631 S BALDWIN RD",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483591506",
            "telephone_number": "248-499-9106",
            "fax_number": "248-294-1351"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15300 Kercheval Ave",
            "address_purpose": "LOCATION",
            "city": "Grosse Pointe Park",
            "state": "MI",
            "postal_code": "482301336",
            "country_code": "US",
            "telephone_number": "313-492-3787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AESTHETIC THEORY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-24",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "ALATASSI",
        "authorized_official_first_name": "MALAZ",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "248-953-0526",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2083B0002X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aesthetic Theory Medspa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aaa Health Centers
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• Sarah Bizzu Ageno
• Akia Agurs
• Areeb Ahmad
• Tasneem Ahmed
• Hussain Ali

• Obesity Medicine (Preventive Medicine) Physician in Lake Orion, MI
• Providers in Lake Orion, MI by specialty
• Obesity Medicine (Preventive Medicine) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.