Chanchai Tivitmahaisoon, M.D.
NPI #1508820549 in Logan, West Virginia
Provider Information
- NPI Number
- 1508820549
- Entity Type
- Individual
- Name
- Chanchai Tivitmahaisoon, M.D.
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Surgery
- Credential
- M.D.
- Enumeration Date
- Apr 14, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 20 HOSPITAL DR
- City
- Logan
- State
- West Virginia
- ZIP Code
- 25601-3452
- Phone
- (304) 831-1254
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery |
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