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Individual

CELSO T EBEO

Active
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Individual

CELSO T EBEO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
41941
TN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
41941
TN
207RP1001X
Pulmonary Disease Physician
41941
TN
207RS0012X
Sleep Medicine (Internal Medicine) Physician
41941
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010036186
VA
05
1104812734
VA
05
1841829000
WV
05
3000405
TN
05
64070527
KY
Enumeration date
09/20/2005
Last updated
06/29/2026
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