IndividualActive
Benjamin Chacko, MD
NPI 1619729670 · Military Health Care Provider · Goose Creek, SC
Provider details
- NPI number
- 1619729670
- Entity type
- Individual
- Primary specialty
- Military Health Care ProviderOther Service Providers
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 0101287091 (VA)
Specialties & taxonomies
Other Service Providers
Practice location
110 Nnptc Cir
Goose Creek, SC 29445-6314
Phone: (843) 794-6000
Approximate (ZIP-level) locationGet directions
Mailing address
110 Nnptc Cir
Goose Creek, SC 29445-6314
Registry dates
- Enumerated
- 2024-04-03
- Last updated
- 2025-12-05
- Certified
- 2025-12-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.