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

Premier Internal Medicine LLC

Organization Internal Medicine Physician · NPI 1790069698

Premier Internal Medicine LLC is an Internal Medicine Physician in Columbus, Ohio. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6275 E Broad St
Columbus, OH 43213-1504
Phone: (614) 824-3394
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1790069698
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Srinivas Anand Rao Ponneri — Office Manager/Director Rcm · (614) 373-4202
NPI enumeratedOctober 11, 2011
Last updated in NPPESOctober 10, 2022
Certification dateOctober 10, 2022
Mailing address6275 E Broad St, Columbus, OH 43213-1504

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