Executive Plastic Surgery, PLLC
NPI 1649675174 · Plastic Surgery Physician · Bloomfield Hills, MI
Executive Plastic Surgery, PLLC is a Plastic Surgery Physician organization in Bloomfield Hills, MI (NPI 1649675174).
Provider details
- NPI number
- 1649675174
- Entity type
- Organization
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shaher Khan, Ceo(734) 419-1615
- License
- 4301098160 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Former legal business name
- Crescent Plastic Surgery, PLLC
Registry dates
- Enumerated
- 2014-10-27
- Last updated
- 2024-03-22
- Certified
- 2024-03-22
Frequently asked questions
- What is Executive Plastic Surgery, PLLC's NPI number?
- Executive Plastic Surgery, PLLC's National Provider Identifier (NPI) is 1649675174, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Executive Plastic Surgery, PLLC?
- Executive Plastic Surgery, PLLC is classified in the NPPES registry as Plastic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Executive Plastic Surgery, PLLC located?
- Executive Plastic Surgery, PLLC's practice location on file with NPPES is 43940 Woodward Ave Ste 100, Bloomfield Hills, MI 48302-5025.
- What is Executive Plastic Surgery, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Executive Plastic Surgery, PLLC is (734) 419-1615.
- Who is the authorized official for Executive Plastic Surgery, PLLC?
- The authorized official listed on Executive Plastic Surgery, PLLC's NPPES record is Shaher Khan, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Executive Plastic Surgery, PLLC's NPI active?
- Yes — Executive Plastic Surgery, PLLC's NPI (1649675174) is active in the NPPES registry as of the last update on 2024-03-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.