Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Birmingham Skin & Hair Aesthetics PLLC

Organization Medical Physician Assistant · NPI 1720524218

Birmingham Skin & Hair Aesthetics PLLC provides Medical Physician Assistant services in Birmingham, Michigan. Licensed in Massachusetts. Registered with an NPI since 2017.

Licensed in
MA
In the registry since
2017
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

751 Chestnut St Ste 102
Birmingham, MI 48009-6461
Phone: (248) 593-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 4301067927 (MA)

Record details

NPI number1720524218
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Venkat Rudraraju — Official · (248) 593-1000
NPI enumeratedJanuary 9, 2017
Last updated in NPPESJanuary 9, 2017
Mailing address751 Chestnut St, Suite 102, Birmingham, MI 48009-6461

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