Prom Deevilaiphan
Prom Deevilaiphan is an Electroneurodiagnostic Specialist/Technologist in Brentwood, Tennessee. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
3 Maryland FarmsBrentwood, TN 37027-5005
Phone: (800) 348-4565
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Electroneurodiagnostic Specialist/Technologist (primary) | Taxonomy 246ZE0600X |
|---|
Record details
| NPI number | 1811863897 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 15, 2025 |
| Last updated in NPPES | October 15, 2025 |
| Certification date | October 15, 2025 |
| Mailing address | 3 Maryland Farms, Brentwood, TN 37027-5005 |
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