Individual
DR. VIRASITH RAJAPHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
311 BLUEBONNET DR, LAFAYETTE, LA 70508-5412
(337) 781-7627
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 765-5727
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD.203878
LA
208M00000X
Hospitalist Physician
203878
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1006793
—
LA
Enumeration date
06/26/2007
Last updated
05/27/2021
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