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BIRMINGHAM SKIN & HAIR AESTHETICS PLLC
NPI 1720524218
Physician Assistant - Medical in Birmingham, MI

Active since January 09, 2017
751 CHESTNUT ST, SUITE 102, BIRMINGHAM, MI 48009(248) 593-1000 Get Directions Write a Review

NPPES record last updated: January 9, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Birmingham Skin & Hair Aesthetics Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BIRMINGHAM SKIN & HAIR AESTHETICS PLLC (NPI 1720524218) is a healthcare organization registered as a medical in Birmingham, Michigan and active in the NPI registry since January 2017. The organization lists Venkat Rudraraju, Official, as its authorized official.

NPPES Registry Identity

NPI1720524218
Entity TypeOrganization
Primary Taxonomy363AM0700X
Legal Business NameBIRMINGHAM SKIN & HAIR AESTHETICS PLLC
Location Address751 CHESTNUT ST, SUITE 102Birmingham, MI 48009-6461
Mailing Address751 Chestnut St, Suite 102Birmingham, MI 48009-6461 · (248) 593-1000
Phone(248) 593-1000
Organization SubpartNo
Authorized OfficialVenkat RudrarajuOfficial · (248) 593-1000
Enumeration DateJanuary 9, 2017
✔ NPI 1720524218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in MA · 4301067927
751 CHESTNUT ST, Birmingham, MI 48009
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINH2627MI
Medicaid4406149MI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan.Insurance ›

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SCHUYLER V HAMILL D. D. S.
Dentist (General Practice)
751 CHESTNUT ST, SUITE 105
BIRMINGHAM, MI 48009
Oakland County (248) 642-3320
DR. JEROME RAYMOND BRANHAM SR. DDS
Dentist (General Practice)
751 CHESTNUT ST, # 104
BIRMINGHAM, MI 48009
Oakland County (248) 723-4566
DR. DAVID J SONG M.D.
Dentist (General Practice)
751 CHESTNUT ST, SUITE 201
BIRMINGHAM, MI 48009
Oakland County (248) 644-5328
REVITALIZE DAY SPA
Massage Therapist
751 CHESTNUT ST, 203
BIRMINGHAM, MI 48009
Oakland County (248) 530-4772
CAROLYN S WAY DDS PC
Dentist
751 CHESTNUT ST, SUITE 103
BIRMINGHAM, MI 48009
Oakland County (248) 647-1144
D.C. BONADEO, D.D.S., P.C.
Clinic/Center (Dental)
751 CHESTNUT ST, SUITE 101
BIRMINGHAM, MI 48009
Oakland County (248) 647-2109
BIRMINGHAM DENTISTRY PLLC
Dentist (General Practice)
751 CHESTNUT ST
BIRMINGHAM, MI 48009
Oakland County (248) 644-8520

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Birmingham Skin & Hair Aesthetics PLLC's NPI number?

The NPI number for Birmingham Skin & Hair Aesthetics PLLC is 1720524218. It was assigned to this organization in the NPPES registry on January 9, 2017.

Where is Birmingham Skin & Hair Aesthetics PLLC located?

Birmingham Skin & Hair Aesthetics PLLC is located at 751 Chestnut St Suite 102, Birmingham, MI 48009. The listed phone number is (248) 593-1000.

What is Birmingham Skin & Hair Aesthetics PLLC's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

What insurance does Birmingham Skin & Hair Aesthetics PLLC accept?

Health plans from Blue Care Network of Michigan list Birmingham Skin & Hair Aesthetics PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Birmingham Skin & Hair Aesthetics PLLC was last updated on January 9, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.