| Chanchai Tivitmahaisoon, MD | |
|
20 Hospital Dr, Logan, WV 25601-3452 | |
| (304) 831-1254 | |
| (304) 831-1679 |
| Full Name | Chanchai Tivitmahaisoon |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 20 Hospital Dr, Logan, West Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508820549 | NPI | - | NPPES |
| 0127820000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 11491 (West Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Chanchai Tivitmahaisoon, MD 20 Hospital Dr, Logan, WV 25601-3452 Ph: (304) 831-1254 | Chanchai Tivitmahaisoon, MD 20 Hospital Dr, Logan, WV 25601-3452 Ph: (304) 831-1254 |
Dr. James Charlton Paugh Ii, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 20 Hospital Dr, Kruger Building, Suite 300, Logan, WV 25601 Phone: 304-831-1690 Fax: 304-831-1693 | |
Jodi M Cisco-goff, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 77 Hospital Dr, Logan, WV 25601 Phone: 304-792-1847 Fax: 304-792-1849 | |
Robert W Mccleary, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 20 Hospital Dr, Logan, WV 25601 Phone: 304-831-1818 Fax: 304-831-1815 | |
Kriengkrai Kitiphongspattana, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 20 Hospital Dr, Logan, WV 25601 Phone: 304-831-1254 Fax: 304-831-1679 | |
Mark Elias Tarakji, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 20 Hospital Dr, Logan, WV 25601 Phone: 304-831-1891 |