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Birmingham Skin & Hair Aesthetics Pllc

Medical Physician Assistant in Birmingham, MI · enumerated 2017 · authorized official Venkat Rudraraju, Official.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1720524218

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Registry record

Entity type Organization (Type 2)
Legal business name Birmingham Skin & Hair Aesthetics Pllc
Practice address 751 Chestnut St, Suite 102, Birmingham, MI, 48009
Phone (248) 593-1000
Enumeration date Jan 9, 2017
Last updated in NPPES Jan 9, 2017

Taxonomy & classification

363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 4301067927 (MA) Primary

Authorized official

Name Venkat Rudraraju
Title Official
Phone (248) 593-1000

Other identifiers

Identifier Type State Issuer
4406149 Medicaid MI -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Birmingham Skin & Hair Aesthetics Pllc located?
The practice location on file with NPPES is in Birmingham, MI.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2017-01-09. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-01-09.