Kriengkrai Kitiphongspattana, MD is a
Thoracic Surgery (cardiothoracic Vascular Surgery) physician based in Logan, West Virginia. Kriengkrai Kitiphongspattana is licensed to practice in West Virginia (license number 12458) and his current practice location is 20 Hospital Dr, Logan, West Virginia. He can be reached at his office (for appointments etc.) via phone at
(304) 831-1254.
NPI number for Kriengkrai Kitiphongspattana is 1790749737 and his current mailing address is 20 Hospital Dr, Logan, West Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1790749737.
Physician's Profile
| Full Name | Kriengkrai Kitiphongspattana |
|---|
| Gender | Male |
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| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
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| Location | 20 Hospital Dr, Logan, West Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1790749737
- Provider Enumeration Date: 04/14/2006
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Kriengkrai Kitiphongspattana such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790749737 | NPI | - | NPPES |
| 0128282000 | Medicaid | WV | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | 12458 (West Virginia) | Primary |
| 2086S0129X | Surgery - Vascular Surgery | 12458 (West Virginia) | Primary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 12458 (West Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kriengkrai Kitiphongspattana is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kriengkrai Kitiphongspattana, MD
20 Hospital Dr,
Logan, WV 25601
Ph: (304) 831-1254 | Kriengkrai Kitiphongspattana, MD
20 Hospital Dr,
Logan, WV 25601-0656
Ph: (304) 831-1254 |
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