Premier Gastroenterology, P. C.

LBN: Premier Gastroenterology, P. C.
Premier Gastroenterology, P. C. is an health care organization with primary practice located at 7900 Airways Blvd Bldg A Ste 3A, Southaven MS 38671-4113. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Premier Gastroenterology, P. C. can be contacted via phone (662) 349-6113, or through Khan, Tariq A. via phone (662) 349-6113.

Contact Information

Primary practice address
7900 Airways Blvd Bldg A Ste 3A Southaven MS 38671-4113
Phone: (662) 349-6113
Fax: (662) 349-6188
Website:
Map and Directions
Authorized official contact:
Name: Khan, Tariq A. Doctor of Medicine (MD)
Phone: (662) 349-6113

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1104835461
LBN Legal business name Premier Gastroenterology, P. C.
DBA Doing business as
Authorized official Khan, Tariq A. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 5th, 2006
Last updated May 7th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104835461 NPPES
Mississippi MEDICAID 09015473
Mississippi Other 3150548
Mississippi Other 631263936E

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