Organization
PREMIERE GI PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARUN KHAZANCHI MD (MEMBER OWNER)
(941) 334-9040
Entity
Organization
Contact information
Practice address
11505 PALMBRUSH TRL STE 200, LAKEWOOD RANCH, FL 34202-2904
(941) 334-9040
(941) 334-9030
Mailing address
11505 PALMBRUSH TRL STE 200, LAKEWOOD RANCH, FL 34202-2904
(941) 334-9040
(941) 334-9030
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
07/20/2023
Last updated
07/20/2023
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