Organization
PREVENTIVE CARDIOVASCULAR INSTITUTE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTOR ABIRAGI MD (PRESIDENT/CEO)
(586) 776-8877
Entity
Organization
Contact information
Practice address
25631 LITTLE MACK, SUITE 201, ST. CLAIR SHORES, MI 48081-2108
(586) 443-2930
(586) 443-2958
Mailing address
25631 LITTLE MACK, SUITE 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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E01170
BCBS OF MICHIGAN GRP NUMB
MI
Enumeration date
07/21/2006
Last updated
10/01/2010
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