Active NPI
Ninul Inc
- Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
- Troy, MI
National Provider Identifier
1902123904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
- Legal business name
- NINUL INC
- Practice address
- 637 E Big Beaver Rd
Troy, MI 48083-1423 - Phone
- (248) 525-5314
- Fax
- (877) 353-2634
- NPI assigned
- Apr 29, 2010
- Last updated
- Sep 24, 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
- Dr. Victor Abiragi, M.D.,
- Title
- Family Practice/Plastic Surgery
- Phone
- (248) 525-5314
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician | 2082S0099X | NU | Primary |
Addresses
Primary practice location
637 E Big Beaver Rd
Troy, MI 48083-1423
Mailing address
23679 Calabasas Rd
Ste 784
Calabasas, CA 91302-1502
Phone (248) 525-5314
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4901239 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
637 E Big Beaver Rd
Troy, MI 48083
Phone (248) 525-5314
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272499200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1285286400000",
"number": "1902123904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23679 CALABASAS RD",
"address_2": "STE 784",
"city": "CALABASAS",
"state": "CA",
"postal_code": "913021502",
"telephone_number": "248-525-5314",
"fax_number": "877-353-2634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "637 E BIG BEAVER RD",
"city": "TROY",
"state": "MI",
"postal_code": "480831423",
"telephone_number": "248-525-5314",
"fax_number": "877-353-2634"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NINUL INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-29",
"last_updated": "2010-09-24",
"status": "A",
"authorized_official_last_name": "ABIRAGI",
"authorized_official_first_name": "VICTOR",
"authorized_official_title_or_position": "FAMILY PRACTICE/PLASTIC SURGERY",
"authorized_official_telephone_number": "248-525-5314",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D.,"
},
"taxonomies": [
{
"code": "2082S0099X",
"taxonomy_group": "",
"desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4901239",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.