Viprakasit, Dejo

Viprakasit, Dejo is an individual health care provider with primary practice located at 1995 Hwy 51 South Suite 104, Covington TN 38019. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Viprakasit, Dejo can be contacted via phone (901) 476-1135.

Contact Information

Primary practice address
1995 Hwy 51 South Suite 104 Covington TN 38019
Phone: (901) 476-1135
Fax: (901) 476-1136
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X MD11008 Tennessee

Profile Details

NPI number 1255312096
LBN Legal business name Viprakasit, Dejo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1255312096 NPPES
Tennessee MEDICAID 3383546
Tennessee Other 4031846
Tennessee Other 2007928

Popular Providers