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DR. CHAISAK PENGVANICH M.D.
NPI 1083721641
Internal Medicine in Louisville, KY

Active since August 23, 2006
1607 DIXIE HWY, LOUISVILLE, KY 40210(502) 772-1822(502) 774-8464 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Chaisak Pengvanich M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CHAISAK PENGVANICH M.D. (NPI 1083721641) is an individual internal medicine provider in Louisville, Kentucky, licensed in Kentucky (17517) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1083721641
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. CHAISAK PENGVANICHCredential: M.D.
Location Address1607 DIXIE HWYLouisville, KY 40210-1745
Mailing Address1607 Dixie HwyLouisville, KY 40210-1745 · (502) 772-1822 · Fax (502) 774-8464
Phone(502) 772-1822
Fax(502) 774-8464
Sole ProprietorYes
Enumeration DateAugust 23, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1083721641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in KY · 17517
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1607 DIXIE HWY, Louisville, KY 40210
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Other Identifiers 3

Medicaid64175177KY
Medicare ID-Type Unspecified1425801KY
Medicare UPINC64838KY

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LINDSEY WINFIELD
Nurse Practitioner
1607 DIXIE HWY
LOUISVILLE, KY 40210
Jefferson County (502) 772-1822
QIYU HUANG APRN
Nurse Practitioner (Family)
1607 DIXIE HWY
LOUISVILLE, KY 40210
Jefferson County (502) 772-1822

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chaisak Pengvanich's NPI number?

The NPI number for Chaisak Pengvanich is 1083721641. It was assigned to this individual provider in the NPPES registry on August 23, 2006.

Where is Chaisak Pengvanich located?

Chaisak Pengvanich practices at 1607 Dixie Hwy, Louisville, KY 40210. The listed phone number is (502) 772-1822.

What is Chaisak Pengvanich's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Chaisak Pengvanich was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.