MEDICARE: MR. MEHMET CEMAL AGABIGUM MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207YX0007X	Plastic Surgery within the Head & Neck (Otolaryngology) Physician	4301040397	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	0402500732	OTHER	MI	BLUE CROSS BLUE SHIELD
3	0400732	OTHER	MI	HEALTH PLUS

General Provider Information

NPI Number	:	1740265362
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MEHMET CEMAL AGABIGUM MD

Provider Business Mailing Address
First Line	:	5040 VILLA LINDE PKWY
Second Line	:	STE A
City	:	FLINT
State	:	MI
Zip	:	48532-3445
Country	:	US
Telephone Number	:	810-732-4250
Fax Number	:	810-732-0444

Provider Business Practice Location Address
First Line	:	5040 VILLA LINDE PKWY
Second Line	:	STE A
City	:	FLINT
State	:	MI
Zip	:	48532-3445
Country	:	US
Telephone Number	:	810-732-4250
Fax Number	:	810-732-0444

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/07/2005
Last Update Date	:	01/11/2023

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