Organization Active NPI

Moez & Saira Premji Inc

  • Internal Medicine Physician
  • Lenoir City, TN
National Provider Identifier
1912966706
Registry record updated Jul 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MOEZ & SAIRA PREMJI INC
Practice address
308 E Bdwy
Lenoir City, TN 37771-3043
Phone
(865) 988-5774
NPI assigned
Mar 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2010

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

Authorized official

Name
Mrs. Saira K Premji
Title
Administrator
Phone
(865) 988-5774

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

308 E Bdwy
Lenoir City, TN 37771-3043

Mailing address

308 E Broadway
Lenoir City, TN 37771
Phone (865) 988-5774

Other identifiers 1

IdentifierTypeStateIssuer
3728138MedicaidTN

Other names 1

  • LENOIR MEDICAL CLINIC Doing business as

National Provider Directory

National Provider Directory

Locations

308 E Broadway St
Lenoir City, TN 37771
Phone (865) 671-4394

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280361600000",
    "number": "1912966706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 E BROADWAY",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "37771",
            "telephone_number": "865-988-5774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 E BDWY",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377713043",
            "telephone_number": "865-988-5774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOEZ & SAIRA PREMJI INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-21",
        "last_updated": "2010-07-29",
        "status": "A",
        "authorized_official_last_name": "PREMJI",
        "authorized_official_first_name": "SAIRA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "865-988-5774",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3728138",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LENOIR MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lenoir City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2010; 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.