TRI COUNTY MD PC NPI 1992071070

NPI Information

  • NPI: 1992071070
  • Provider Name: TRI COUNTY MD PC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 624 E 9 MILE RD
    HAZEL PARK, MI
    ZIP 48030
  • Phone: (248) 541-1114

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NPI Details

TRI COUNTY MD PC is a family medicine in Hazel Park, MI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. TRI COUNTY MD PC NPI is 1992071070. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

624 E 9 MILE RD
HAZEL PARK, MI
ZIP 48030-842
Phone: (248) 541-1114

The provider's authorized official is Thulasi Divi .
The authorized official title is Owner and has the following contact phone number (248) 541-1114.

The enumeration date for this NPI number is 3/22/2012 and was last updated on 3/22/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineTD062122MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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