Individual
DR. SUTHIPAN CHEVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
650 E MCDONALD AVE, MAN, WV 25635-1023
(304) 583-8585
(304) 583-0129
Mailing address
7400 LYNN AVE, HAMLIN, WV 25523-1138
(304) 824-5806
(304) 824-5804
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
10735
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0092794000
—
WV
Enumeration date
06/08/2005
Last updated
04/30/2012
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