Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Chaisak Pengvanich, MD

Individual provider Internal Medicine Physician · NPI 1083721641

Dr. Chaisak Pengvanich, MD is an Internal Medicine Physician in Louisville, Kentucky. Practices as a sole proprietor. Licensed in Kentucky.

Licensed in
KY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1607 Dixie Hwy
Louisville, KY 40210-1745
Phone: (502) 772-1822
Fax: (502) 774-8464
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 17517 (KY)

Record details

NPI number1083721641
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 23, 2006
Last updated in NPPESJuly 8, 2007

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