Individual provider · Type 1 NPI

Prom Deevilaiphan

Electroneurodiagnostic Specialist/Technologist · Brentwood, TN

NPI number 1811863897 Active

Practice location

3 Maryland Farms
Brentwood, TN 37027-5005

Call (800) 348-4565 Map

Specialties and licenses

TaxonomyCodeLicense
Electroneurodiagnostic Specialist/Technologist Primary 246ZE0600XNone listed

Electroneurodiagnostic Specialist/Technologist: Definition to come...

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About NPI 1811863897

Prom Deevilaiphan's National Provider Identifier is 1811863897, issued on Oct 15, 2025. The primary taxonomy on file is Electroneurodiagnostic Specialist/Technologist (246ZE0600X), and the practice location is in Brentwood, TN. The record was last updated on Oct 15, 2025.