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

Sara Atisha

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1316601206

Sara Atisha is a Physician Assistant in Detroit, Michigan. Qualified in 2022, 4 years ago. Practices with Joel L Young MD PC, a 59-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
4
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

4001 W McNichols Rd
Detroit, MI 48221-3038
Phone: (313) 993-1245
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1316601206
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 26, 2021
Last updated in NPPESSeptember 6, 2022
Certification dateSeptember 6, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Joel L Young Md Pc — 59 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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