Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHANCHAI TIVITMAHAISOON, M.D.
ActiveGeneral Surgery · LOGAN, WV
Registration Details
- NPI Number
- 1508820549
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 14, 2006 (20.062199765984 yrs)
- Last Updated
- Jul 8, 2007
- License
-
11491 (WV)
Practice Information
- Address
-
20 HOSPITAL DRLOGAN, WV, 256013452Browse WV providers · Browse ZIP 25601
- Phone
- 3048311254
- Fax
- 3048311679
- Primary Specialty
-
General Surgery
208600000X
Other General Surgery Providers in LOGAN, WV
| Name | Credential | NPI |
|---|---|---|
| ROBERT W MCCLEARY | DO | 1538145313 |
| JODI M CISCO-GOFF | MD | 1497714737 |
| DR. JAMES CHARLTON PAUGH II | D.O. | 1083866511 |
| MARK ELIAS TARAKJI | MD | 1952645111 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.