Individual provider · Type 1 NPI

Chanchai Tivitmahaisoon, MD

Surgery Physician · Logan, WV

NPI number 1508820549 Active

Practice location

20 Hospital Dr
Logan, WV 25601-3452

Fax (304) 831-1679

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000X11491 (WV)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1508820549

Chanchai Tivitmahaisoon, MD's National Provider Identifier is 1508820549, issued on Apr 14, 2006. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Logan, WV. The record was last updated on Jul 13, 2026.