Organization
PREMIER INTERNAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SRINIVAS ANAND RAO PONNERI (OFFICE MANAGER/DIRECTOR RCM)
(614) 373-4202
Entity
Organization
Contact information
Practice address
6275 E BROAD ST, COLUMBUS, OH 43213-1504
(614) 824-3394
Mailing address
6275 E BROAD ST, COLUMBUS, OH 43213-1504
(614) 861-0967
(614) 861-0930
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/11/2011
Last updated
10/10/2022
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