Individual provider · NPI-1

Michael Abiragi

Internal Medicine · Grand Rapids, MI

NPI number1902421639
StatusActive
Last updated in NPPESMay 28, 2025

Details

NPI
1902421639
Entity type
Individual (NPI-1)
Name
Michael Abiragi
Sex
Male
Sole proprietor
No
Enumeration date
Jun 9, 2020
Certification date
May 28, 2025
Last updated
May 28, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineA186565CAYes
207RC0000X Internal Medicine, Cardiovascular Disease4301511966MI

Practice location

2900 Bradford St Ne
Grand Rapids, MI 49525-6427

Phone 616-885-5000

Mailing address

2900 Bradford St Ne
Grand Rapids, MI 49525-6427

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