Active NPI
Tristar Health PC
- Internal Medicine Physician
- Ferndale, MI
National Provider Identifier
1902329600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.