Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Center of Aesthetic and Reconstructive Surgery, PLLC

Organization Plastic Surgery Physician · NPI 1790635415

Center of Aesthetic and Reconstructive Surgery, PLLC is a Plastic Surgery Physician in Bloomfield Hills, Michigan. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

36800 Woodward Ave Ste 112
Bloomfield Hills, MI 48304-0916
Phone: (248) 890-2515
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X

Record details

NPI number1790635415
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kongkrit Chaiyasate — President · (248) 890-2515
NPI enumeratedFebruary 2, 2026
Last updated in NPPESJuly 6, 2026
Certification dateJuly 6, 2026
Mailing address125 Bridgeview Dr, Bloomfield Hills, MI 48304-2425

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