Organization
BIRMINGHAM SKIN & HAIR AESTHETICS PLLC
Active
Organization
BIRMINGHAM SKIN & HAIR AESTHETICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VENKAT RUDRARAJU MD (OFFICIAL)
(248) 593-1000
Entity
Organization
Contact information
Practice address
751 CHESTNUT ST, SUITE 102, BIRMINGHAM, MI 48009-6461
(248) 593-1000
Mailing address
751 CHESTNUT ST, SUITE 102, BIRMINGHAM, MI 48009-6461
(248) 593-1000
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
4301067927
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4406149
—
MI
Enumeration date
01/09/2017
Last updated
01/09/2017
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up