Provider Demographics
NPI:1740265362
Name:AGABIGUM, MEHMET CEMAL (MD)
Entity type:Individual
Prefix:MR
First Name:MEHMET
Middle Name:CEMAL
Last Name:AGABIGUM
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5040 VILLA LINDE PKWY
Mailing Address - Street 2:STE A
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48532-3445
Mailing Address - Country:US
Mailing Address - Phone:810-732-4250
Mailing Address - Fax:810-732-0444
Practice Address - Street 1:5040 VILLA LINDE PKWY
Practice Address - Street 2:STE A
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48532-3445
Practice Address - Country:US
Practice Address - Phone:810-732-4250
Practice Address - Fax:810-732-0444
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-07
Last Update Date:2023-01-11
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Provider Licenses
StateLicense IDTaxonomies
MI4301040397207YX0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0007XAllopathic & Osteopathic PhysiciansOtolaryngologyPlastic Surgery within the Head & Neck
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI2115367Medicaid
MI0402500732OtherBLUE CROSS BLUE SHIELD
MI0400732OtherHEALTH PLUS
MI0250073Medicare ID - Type Unspecified
MI2115367Medicaid