Provider Demographics
NPI:1033265798
Name:AESTHETIC SOLUTIONS CENTER LLC
Entity Type:Organization
Organization Name:AESTHETIC SOLUTIONS CENTER LLC
Other - Org Name:ATLANTA INSTITUTE FOR FACIAL AESTHETIC SURGERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PRADEEP
Authorized Official - Middle Name:K
Authorized Official - Last Name:SINHA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:404-256-5428
Mailing Address - Street 1:5730 GLENRIDGE DR STE T200
Mailing Address - Street 2:
Mailing Address - City:SANDY SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30328-5873
Mailing Address - Country:US
Mailing Address - Phone:404-256-5428
Mailing Address - Fax:404-250-1881
Practice Address - Street 1:5730 GLENRIDGE DR STE T200
Practice Address - Street 2:
Practice Address - City:SANDY SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30328-5873
Practice Address - Country:US
Practice Address - Phone:404-256-5428
Practice Address - Fax:404-250-1881
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-26
Last Update Date:2019-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YX0007XAllopathic & Osteopathic PhysiciansOtolaryngologyPlastic Surgery within the Head & NeckGroup - Single Specialty