Vahagn Agbabian DO PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

5101004232 Issued in MI

Legal business name

VAHAGN AGBABIAN DO PC

Practice address

28 N Saginaw St
Suite 703
Pontiac, MI 48342-2134

Phone

(248) 334-2424

Fax

(248) 334-2924

NPI assigned

Mar 13, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Vahagn Agbabian, D.O.

Title

President

Phone

(248) 334-2424

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1518090299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 N SAGINAW ST",
            "address_2": "SUITE 703",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483422134",
            "telephone_number": "248-334-2424",
            "fax_number": "248-334-2924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 N SAGINAW ST",
            "address_2": "SUITE 703",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483422134",
            "telephone_number": "248-334-2424",
            "fax_number": "248-334-2924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAHAGN AGBABIAN DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "AGBABIAN",
        "authorized_official_first_name": "VAHAGN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-334-2424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101004232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013961",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "115789986",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC OF MICHIGAN",
            "identifier": "1156300095",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Pontiac, MI
• Providers in Pontiac, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.