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Organization
TRI-STATE HEALTH, INC
Active
Organization
TRI-STATE HEALTH, INC
Active
Parent organization
TRI-STATE HEALTH, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRI-STATE HEALTH, INC
Authorized official
MUHAMMED ARIF NIAZ MD (MANAGING MEMBER)
(410) 392-6408
Entity
Organization
Contact information
Practice address
2527 JACOB TOME MEMORIAL HWY, COLORA, MD 21917-1258
(410) 392-6408
Mailing address
107 N BRIDGE ST, ELKTON, MD 21921-5326
(410) 392-6408
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
NULL
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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