MEDICARE: TRIA HEALTH, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207K00000X	Allergy & Immunology Physician
2	207RR0500X	Rheumatology Physician

General Provider Information

NPI Number	:	1730793928
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRIA HEALTH, PLLC

Provider Business Mailing Address
First Line	:	1774 SUNSET DR
Second Line	:
City	:	BLOOMFIELD HILLS
State	:	MI
Zip	:	48302-0207
Country	:	US
Telephone Number	:	319-530-8368
Fax Number	:

Provider Business Practice Location Address
First Line	:	2550 S TELEGRAPH RD STE 104
Second Line	:
City	:	BLOOMFIELD HILLS
State	:	MI
Zip	:	48302-0951
Country	:	US
Telephone Number	:	248-972-5143
Fax Number	:

Authorized Official
Title or Position	:	PHYSICIAN MEMBER TRIA HEALTH
Name	:	DR. RUBA KADO
Credential	:	MD
Telephone Number	:	248-972-5143

Provider Enumeration Date	:	09/03/2020
Last Update Date	:	06/15/2025

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Directions to “TRIA HEALTH, PLLC ” Practice Location

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