Individual provider · Type 1 NPI

Philip Soni Chacko

Surgery Physician · Charleston, WV

NPI number 1639707458 Active

Practice location

3200 Maccorkle Ave SE
Charleston, WV 25304-1227

Call (248) 514-1520 Map

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000X5151014370 (MI)
Surgery Physician Primary 208600000X4674 (WV)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1639707458

Philip Soni Chacko's National Provider Identifier is 1639707458, issued on Mar 28, 2020. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Charleston, WV. The record was last updated on Jun 28, 2025.