Individual provider · Type 1 NPI

Benjamin Chacko, MD

Military Health Care Provider · Goose Creek, SC

NPI number 1619729670 Active

Practice location

110 Nnptc Cir
Goose Creek, SC 29445-6314

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000X0101287091 (VA)

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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About NPI 1619729670

Benjamin Chacko, MD's National Provider Identifier is 1619729670, issued on Apr 3, 2024. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Goose Creek, SC. The record was last updated on Dec 5, 2025.