Provider Demographics
NPI:1174061014
Name:TRI CITY GERIATRICS INC
Entity type:Organization
Organization Name:TRI CITY GERIATRICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARSHAD
Authorized Official - Middle Name:
Authorized Official - Last Name:AQIL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:989-672-0341
Mailing Address - Street 1:1070 E CARO RD
Mailing Address - Street 2:
Mailing Address - City:CARO
Mailing Address - State:MI
Mailing Address - Zip Code:48723-1236
Mailing Address - Country:US
Mailing Address - Phone:989-672-0341
Mailing Address - Fax:989-672-6343
Practice Address - Street 1:1070 E CARO RD
Practice Address - Street 2:
Practice Address - City:CARO
Practice Address - State:MI
Practice Address - Zip Code:48723-1217
Practice Address - Country:US
Practice Address - Phone:989-672-0341
Practice Address - Fax:989-672-0343
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-10
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301067880207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty