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Organization
VAHAGN AGBABIAN DO PC
Active
Organization
VAHAGN AGBABIAN DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VAHAGN AGBABIAN D.O. (PRESIDENT)
(248) 334-2424
Entity
Organization
Contact information
Practice address
28 N SAGINAW ST, SUITE 703, PONTIAC, MI 48342-2134
(248) 334-2424
(248) 334-2924
Mailing address
28 N SAGINAW ST, SUITE 703, PONTIAC, MI 48342-2134
(248) 334-2424
(248) 334-2924
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5101004232
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013961
—
MI
01
—
1156300095
BC OF MICHIGAN
MI
01
—
115789986
RR MEDICARE
MI
Enumeration date
03/13/2007
Last updated
06/02/2008
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