| Tri-state Health, Inc. | |
|
107 N Bridge St Elkton MD 21921-5326 | |
| (410) 392-6408 | |
| (410) 392-6409 |
| Full Name | Tri-state Health, Inc. |
|---|---|
| Speciality | Specialist |
| Location | 107 N Bridge St, Elkton, Maryland |
| Authorized Official Name and Position | Muhammed A Niaz (OWNER) |
| Authorized Official Contact | 4103926408 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri-state Health, Inc. 107 N Bridge St Elkton MD 21921-5326 Ph: (410) 392-6408 | Tri-state Health, Inc. 107 N Bridge St Elkton MD 21921-5326 Ph: (410) 392-6408 |
| NPI Number | 1255409082 |
|---|---|
| Provider Enumeration Date | 12/01/2006 |
| Last Update Date | 02/05/2024 |
| Medicare PECOS PAC ID | 0143328153 |
|---|---|
| Medicare Enrollment ID | O20070614000071 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255409082 | NPI | - | NPPES |
| 401409000 | Medicaid | MD |
| Provider Name | Muhammed Arif Niaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255338869 PECOS PAC ID: 7315045325 Enrollment ID: I20101028000036 |
| Provider Name | Dolapo Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710635271 PECOS PAC ID: 4486031762 Enrollment ID: I20220509000646 |
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