Active NPI
Birmingham Vein Center PLLC
- Plastic Surgery Physician
- Southfield, MI
National Provider Identifier
1508160193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- RR047649
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 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 DirectoryLocations
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.