Organization Active NPI

Ninul Inc

  • Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
  • Troy, MI
National Provider Identifier
1902123904
Registry record updated Sep 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery Within the Head and Neck (Plastic Surgery) PhysicianTaxonomy code 2082S0099X
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4901239MedicaidMI

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.