Organization
TRI-STATE HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUHAMMED A NIAZ M.D. (OWNER)
(410) 392-6408
Entity
Organization
Contact information
Practice address
107 N BRIDGE ST, ELKTON, MD 21921-5326
(410) 392-6408
(410) 392-6409
Mailing address
107 N BRIDGE ST, ELKTON, MD 21921-5326
(410) 392-6408
(410) 392-4809
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
401409000
—
MD
Enumeration date
12/01/2006
Last updated
02/05/2024
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