Individual
DR. VICTOR ABIRAGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25631 LITTLE MACK, STE 201, ST. CLAIR SHORES, MI 48081-2108
(586) 443-2930
(586) 443-2958
Mailing address
25631 LITTLE MACK, STE 201, ST. CLAIR SHORES, MI 48081-2108
(586) 443-2930
(586) 443-2958
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4301037600
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0509054
BCBS INDIVIDUAL PIN
MI
01
—
0E01050
BCBS GROUP
MI
01
—
4018153
AETNA
MI
05
—
4901239
—
MI
Enumeration date
06/09/2005
Last updated
10/08/2010
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