Organization Active NPI

Birmingham Vein Center PLLC

  • Plastic Surgery Physician
  • Southfield, MI
National Provider Identifier
1508160193
Registry record updated Dec 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
RR047649 Issued in MI
Legal business name
BIRMINGHAM VEIN CENTER PLLC
Practice address
30603 Southfield Road
Southfield, MI 48076-7729
Phone
(248) 723-9370
Fax
(248) 723-9687
NPI assigned
Dec 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rouchdi M Rifai, MD
Title
Doctor
Phone
(248) 723-9370

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X RR047649 MI Primary

Addresses

Primary practice location

30603 Southfield Road
Southfield, MI 48076-7729

Mailing address

30603 Southfield Road
Southfield, MI 48076-7729
Phone (248) 723-9370

National Provider Directory

National Provider Directory

Locations

300 S Blackstone St
Jackson, MI 49201
Phone (517) 539-8620

400 Huron Ave
Port Huron, MI 48060
Phone (810) 364-2800

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1292976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292976000000",
    "number": "1508160193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30603 SOUTHFIELD ROAD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480767729",
            "telephone_number": "248-723-9370",
            "fax_number": "248-723-9687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30603 SOUTHFIELD ROAD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480767729",
            "telephone_number": "248-723-9370",
            "fax_number": "248-723-9687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRMINGHAM VEIN CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-22",
        "last_updated": "2010-12-22",
        "status": "A",
        "authorized_official_last_name": "RIFAI",
        "authorized_official_first_name": "ROUCHDI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "248-723-9370",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "MI",
            "license": "RR047649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.