Individual
DR. FEROZE A MOMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2021 MONROE ST STE 203, DEARBORN, MI 48124-2926
(313) 388-6299
(313) 388-6328
Mailing address
13530 MICHIGAN AVE, STE 242, DEARBORN, MI 48126-3575
(313) 388-6299
(313) 388-6328
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
4301051771
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01004356
HEALTH PLUS
MI
01
—
014995
MIDWEST HEALTH PLAN
MI
01
—
1105020291
BCBS
MI
01
—
110E002110
BCBS
MI
01
—
124278
GREAT LAKES
MI
05
—
1396728507
—
MI
05
—
431518910
—
MI
01
—
48121
OMNICARE
MI
05
—
481780510
—
MI
01
—
900003803
RAILROAD MEDICARE
MI
01
—
CH9161
RAILROAD MEDICARE GROUP
MI
01
—
F25010
HAP
MI
Enumeration date
11/22/2005
Last updated
02/24/2025
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