Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Premier Gastroenterology, P. C.

Organization Specialist · NPI 1104835461

Premier Gastroenterology, P. C. is a Specialist in Southaven, Mississippi. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

7900 Airways Blvd Bldg A Ste 3A
Southaven, MS 38671-4113
Phone: (662) 349-6113
Fax: (662) 349-6188
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1104835461
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tariq Khan — President · (662) 349-6113
NPI enumeratedAugust 5, 2006
Last updated in NPPESMay 7, 2008
Mailing addressPo Box 40895, Memphis, TN 38174-0895

Other providers in Southaven