Birmingham Skin & Hair Aesthetics Pllc
LBN: Birmingham Skin & Hair Aesthetics Pllc
Birmingham Skin & Hair Aesthetics Pllc is an health care organization with primary practice located at 751 Chestnut St Suite 102, Birmingham MI 48009-6461. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as the primary health care specialty.
Birmingham Skin & Hair Aesthetics Pllc can be contacted via phone (248) 593-1000, or through Rudraraju, Venkat via phone (248) 593-1000.
Contact Information
Primary practice address
751 Chestnut St Suite 102
Birmingham MI 48009-6461
Phone: (248) 593-1000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 4301067927 | Massachusetts |
Profile Details
| NPI number | 1720524218 |
|---|---|
| LBN Legal business name | Birmingham Skin & Hair Aesthetics Pllc |
| DBA Doing business as | |
| Authorized official | Rudraraju, Venkat Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 9th, 2017 |
| Last updated | Jan 9th, 2017 - about 7 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720524218 | NPPES |
| Michigan | MEDICAID | 4406149 |
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