Provider Demographics
NPI:1588654776
Name:AOIGAN, ESTHER C (MD)
Entity type:Individual
Prefix:
First Name:ESTHER
Middle Name:C
Last Name:AOIGAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20935 VIRGINIA ST
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48076-2381
Mailing Address - Country:US
Mailing Address - Phone:248-416-1695
Mailing Address - Fax:248-499-1356
Practice Address - Street 1:20935 VIRGINIA ST
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48076-2381
Practice Address - Country:US
Practice Address - Phone:248-416-1695
Practice Address - Fax:248-499-1356
Is Sole Proprietor?:No
Enumeration Date:2005-10-27
Last Update Date:2017-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301059458207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI080821050OtherBLUE CROSS BLUE SHIELD OF MICHIGAN
EA059458OtherCHAMPUS-CHAMPUS
EA059458OtherCOMMERCIAL-COMMERCIAL NUMBER
MI3201862Medicaid
MI3201862Medicaid
H03395Medicare UPIN