PREMIERE GI PLLC NPI 1336829894

NPI Information

  • NPI: 1336829894
  • Provider Name: PREMIERE GI PLLC
  • Classification: Internal Medicine - 207RG0100X
  • Specialization: Gastroenterology
  • Entity Type: Organization
  • CLIA Number: 10D2300444
  • Address: 11505 PALMBRUSH TRL STE 200
    LAKEWOOD RANCH, FL
    ZIP 34202
  • Phone: (941) 334-9040

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NPI Details

PREMIERE GI PLLC is a gastroenterology internal medicine in Lakewood Ranch, FL. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. PREMIERE GI PLLC NPI is 1336829894. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11505 PALMBRUSH TRL STE 200
LAKEWOOD RANCH, FL
ZIP 34202-904
Phone: (941) 334-9040
Fax: (941) 334-9030

The provider's authorized official is Arun Khazanchi .
The authorized official title is Member Owner and has the following contact phone number (941) 334-9040.

The CLIA number assigned to this NPI record is 10D2300444 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/20/2023 and was last updated on 7/20/2023.

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
1207RG0100XInternal MedicineGastroenterologyYes

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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