Kiratiseavee, Siwat

Kiratiseavee, Siwat is an individual health care provider with primary practice located at 208 Maccorkle Ave Se , Charleston WV 25314-1160. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Kiratiseavee, Siwat can be contacted via phone (304) 343-4300.

Contact Information

Primary practice address
208 Maccorkle Ave Se Charleston WV 25314-1160
Fax: (304) 343-5473
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X P48044 New York
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 22761 West Virginia

Profile Details

NPI number 1629280664
LBN Legal business name Kiratiseavee, Siwat
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2007
Last updated Jan 3rd, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629280664 NPPES
West Virginia MEDICAID 3810009489

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