Tristar Healthcare Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

28187 Issued in OK

Legal business name

TRISTAR HEALTHCARE INC

Practice address

1 S Bryant Ave
Edmond, OK 73034-6309

Phone

(405) 359-5481

Fax

(405) 716-4808

NPI assigned

Oct 2, 2017

Last updated

Oct 2, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Muhammad Sanaullah, MD

Title

Ceo

Phone

(855) 541-2862

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506902400000",
    "number": "1619487923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 S BRYANT AVE",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730346309",
            "telephone_number": "405-359-5481",
            "fax_number": "405-716-4808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 S BRYANT AVE",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730346309",
            "telephone_number": "405-359-5481",
            "fax_number": "405-716-4808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRISTAR HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-02",
        "last_updated": "2017-10-02",
        "status": "A",
        "authorized_official_last_name": "SANAULLAH",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "855-541-2862",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "28187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Edmond, OK
• Providers in Edmond, OK by specialty
• Internal Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.