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Premier Gastroenterology, P. C.

Specialist in Southaven, MS · enumerated 2006 · authorized official Tariq Khan, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104835461

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Registry record

Entity type Organization (Type 2)
Legal business name Premier Gastroenterology, P. C.
Practice address 7900 Airways Blvd, Bldg A Ste 3a, Southaven, MS, 38671
Phone (662) 349-6113
Fax (662) 349-6188
Enumeration date Aug 5, 2006
Last updated in NPPES May 7, 2008

Taxonomy & classification

174400000X Specialist Other Service Providers Primary

Authorized official

Name Tariq Khan
Title President
Phone (662) 349-6113

Other identifiers

Identifier Type State Issuer
09015473 Medicaid MS -
3150548 Other TN BLUE CROSS
631263936E Other MS BLUE CROSS

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-05-07. Verify at npiregistry.cms.hhs.gov.
Where is Premier Gastroenterology, P. C. located?
The practice location on file with NPPES is in Southaven, MS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-05-07.