Provider Demographics
NPI:1396364329
Name:OAKLAND MACOMB CANCER SPECIALISTS, PC
Entity Type:Organization
Organization Name:OAKLAND MACOMB CANCER SPECIALISTS, PC
Other - Org Name:MACOMB CANCER AND BLOOD SPECIALISTS, PC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHAMMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:MOBAYED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-494-4444
Mailing Address - Street 1:PO BOX 7175
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48302-7175
Mailing Address - Country:US
Mailing Address - Phone:248-494-4444
Mailing Address - Fax:586-690-7235
Practice Address - Street 1:3950 S ROCHESTER RD STE 1400
Practice Address - Street 2:
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307-5160
Practice Address - Country:US
Practice Address - Phone:248-494-4444
Practice Address - Fax:586-690-7235
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-09
Last Update Date:2023-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty