Healthcare Provider Details

I. General information

NPI: 1730793928
Provider Name (Legal Business Name): TRIA HEALTH, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2020
Last Update Date: 06/15/2025
Certification Date: 06/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2550 S TELEGRAPH RD STE 104
BLOOMFIELD HILLS MI
48302-0951
US

IV. Provider business mailing address

1774 SUNSET DR
BLOOMFIELD HILLS MI
48302-0207
US

V. Phone/Fax

Practice location:
  • Phone: 248-972-5143
  • Fax:
Mailing address:
  • Phone: 319-530-8368
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. RUBA KADO
Title or Position: PHYSICIAN MEMBER TRIA HEALTH
Credential: MD
Phone: 248-972-5143