Search › Kentucky › Internal Medicine Physician
Chaisak Pengvanich, M.D
NPI 1083721641 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1607 Dixie Hwy
Louisville, KY 40210 - Phone
- (502) 772-1822
- Fax
- (502) 774-8464
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Internal Medicine Physician
207R00000X
- Licence states on file
- KY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky