IndividualActive
Siwat Kiratiseavee, MD
NPI 1629280664 · Allergy & Immunology Physician · Charleston, WV
Provider details
- NPI number
- 1629280664
- Entity type
- Individual
- Primary specialty
- Allergy & Immunology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- P48044 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
208 Maccorkle Ave Se
Charleston, WV 25314-1160
Phone: (304) 343-4300
Fax: (304) 343-5473
Approximate (ZIP-level) locationGet directions
Mailing address
208 Maccorkle Ave Se
Charleston, WV 25314-1160
Registry dates
- Enumerated
- 2007-05-03
- Last updated
- 2014-01-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.