Organization Active NPI

Prema

  • Durable Medical Equipment & Medical Supplies
  • Anderson, SC
National Provider Identifier
1528479474
Registry record updated May 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PREMA
Practice address
1403 E Greenville St
Suite C
Anderson, SC 29621-2049
Phone
(864) 222-3000
NPI assigned
May 14, 2014
Last updated
May 14, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Gowdhami Mohan, M.D.
Title
President
Phone
(864) 222-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1403 E Greenville St
Suite C
Anderson, SC 29621-2049

Mailing address

1403 E Greenville St
Suite C
Anderson, SC 29621-2049

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1400025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400025600000",
    "number": "1528479474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 E GREENVILLE ST",
            "address_2": "SUITE C",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296212049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 E GREENVILLE ST",
            "address_2": "SUITE C",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296212049",
            "telephone_number": "864-222-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-14",
        "last_updated": "2014-05-14",
        "status": "A",
        "authorized_official_last_name": "MOHAN",
        "authorized_official_first_name": "GOWDHAMI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-222-3000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.