Organization Active NPI

Tristar Health PC

  • Internal Medicine Physician
  • Ferndale, MI
National Provider Identifier
1902329600
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
TRISTAR HEALTH PC
Practice address
808 Livernois Rd
Ferndale, MI 48220-2309
Phone
(248) 761-4565
Fax
(248) 336-9230
NPI assigned
Jul 25, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Salahuddin S Ahmad, MD
Title
Resident Agent
Phone
(248) 761-4565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

808 Livernois Rd
Ferndale, MI 48220-2309

Mailing address

808 Livernois St
Ferndale, MI 48220-2309
Phone (248) 761-4565

National Provider Directory

National Provider Directory

Locations

808 Livernois St
Ferndale, MI 48220
Phone (248) 336-9000

NPI Registry JSON

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

{
    "created_epoch": "1500940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1902329600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 LIVERNOIS ST",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482202309",
            "telephone_number": "248-761-4565",
            "fax_number": "248-336-9230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 LIVERNOIS RD",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482202309",
            "telephone_number": "248-761-4565",
            "fax_number": "248-336-9230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRISTAR HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-25",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "SALAHUDDIN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "RESIDENT AGENT",
        "authorized_official_telephone_number": "248-761-4565",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ferndale, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.