MEDICARE: CANCER & TRANSPLANT CONSULTANTS PLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RH0003X	Hematology & Oncology Physician	4301051771	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	110E002110	OTHER	MI	BCBS
3	110E002110	OTHER	MI	BCN

General Provider Information

NPI Number	:	1235177718
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CANCER & TRANSPLANT CONSULTANTS PLC

Provider Business Mailing Address
First Line	:	7105 ALLEN RD
Second Line	:
City	:	ALLEN PARK
State	:	MI
Zip	:	48101-2009
Country	:	US
Telephone Number	:	313-388-6299
Fax Number	:	313-388-6328

Provider Business Practice Location Address
First Line	:	2021 MONROE ST STE 203
Second Line	:
City	:	DEARBORN
State	:	MI
Zip	:	48124-2926
Country	:	US
Telephone Number	:	313-388-6299
Fax Number	:	313-388-6328

Authorized Official
Title or Position	:	PRESIDENT/PHYSICIAN
Name	:	DR. FEROZE A MOMIN
Credential	:	MD
Telephone Number	:	313-388-6299

Provider Enumeration Date	:	06/04/2006
Last Update Date	:	03/06/2019

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Directions to “CANCER & TRANSPLANT CONSULTANTS PLC ” Practice Location

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