DR. MD Feroze A Momin, NPI 1396728507
Hematology & Oncology Physician in Dearborn, MI, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1396728507
NPI Entity Type Individual
Provider Name DR. MD Feroze A Momin
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 2021 Monroe St Ste 203, Dearborn, MI, US
Provider Mailing Address 13530 Michigan Ave, Ste 242, Dearborn, MI, US, 481263575
Gender Male
Is Sole Proprietor? Yes
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Primary Taxonomy

Taxonomy Code

207RH0003X

Taxonomy Name Hematology & Oncology Physician
Classification

Internal Medicine

Group

Allopathic & Osteopathic Physicians

License No. 4301051771
License State MI
Description An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Business Address

DR. MD Feroze A Momin
2021 Monroe St Ste 203

Dearborn, MI, US

Phone: 313-388-6299
Fax: 313-388-6328

Mailing Address

DR. MD Feroze A Momin
13530 Michigan Ave
Ste 242
Dearborn, MI, US
ZIP 481263575
Phone: 313-388-6299
Fax: 313-388-6328

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
900003803 MI RAILROAD MEDICARE 01
01004356 MI HEALTH PLUS 01
014995 MI MIDWEST HEALTH PLAN 01
1105020291 MI BCBS 01
F25010 MI HAP 01
431518910 MI MEDICAID 05
481780510 MI MEDICAID 05
CH9161 MI RAILROAD MEDICARE GROUP 01
110E002110 MI BCBS 01
124278 MI GREAT LAKES 01
1396728507 MI MEDICAID 05
48121 MI OMNICARE 01

Health Information Exchange

Endpoint Type Endpoint Description Use Content Type Affiliation Location
DIRECT [email protected] No 2021 Monroe St Ste 203, Dearborn, MI, US

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