Healthcare Provider Details

I. General information

NPI: 1396364329
Provider Name (Legal Business Name): OAKLAND MACOMB CANCER SPECIALISTS, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2020
Last Update Date: 10/28/2023
Certification Date: 10/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3950 S ROCHESTER RD STE 1400
ROCHESTER HILLS MI
48307-5160
US

IV. Provider business mailing address

PO BOX 7175
BLOOMFIELD MI
48302-7175
US

V. Phone/Fax

Practice location:
  • Phone: 248-494-4444
  • Fax: 586-690-7235
Mailing address:
  • Phone: 248-494-4444
  • Fax: 586-690-7235

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MOHAMMAD MOBAYED
Title or Position: PRESIDENT
Credential: MD
Phone: 248-494-4444