Healthcare Provider Details

I. General information

NPI: 1972776052
Provider Name (Legal Business Name): MEHMET C AGABIGUM MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2008
Last Update Date: 01/11/2023
Certification Date: 01/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5040 VILLA LINDE PKWY STE A
FLINT MI
48532-3445
US

IV. Provider business mailing address

5040 VILLA LINDE PKWY STE A
FLINT MI
48532-3445
US

V. Phone/Fax

Practice location:
  • Phone: 810-732-4250
  • Fax: 810-732-0444
Mailing address:
  • Phone: 810-732-4250
  • Fax: 810-732-0444

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YX0905X
TaxonomyOtolaryngology/Facial Plastic Surgery Physician
License Number4301040397
License Number StateMI

VIII. Authorized Official

Name: DR. MEHMET C AGABIGUM
Title or Position: PRESIDENT
Credential: M.D
Phone: 810-732-4250