CHANCHAI TIVITMAHAISOON, M.D

NPI: 1508820549 · Individual · Active

Primary Specialty

Surgery Physician
Surgery

Practice Location

20 HOSPITAL DR
LOGAN, WV 25601-3452 Map ↗
Phone: 304-831-1254
Fax: 304-831-1679

All Specialties & Licenses

  • Surgery Physician Primary (license: 11491, WV)

NPI Registration

Enumerated: 2006-04-14

Last CMS Update: 2007-07-08