Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Birmingham Skin & Hair Aesthetics PLLC

Organization Medical Physician Assistant · NPI 1720524218

Birmingham Skin & Hair Aesthetics PLLC is a Medical Physician Assistant 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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