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

Philip Soni Chacko

Individual provider Surgery Physician · NPI 1639707458

Philip Soni Chacko is a Surgery Physician in Charleston, West Virginia. Licensed in Michigan and West Virginia. Registered with an NPI since 2020.

Licensed in
MI, WV
In the registry since
2020
Specialties on file
2

Practice location Address checks out

3200 Maccorkle Ave SE
Charleston, WV 25304-1227
Phone: (248) 514-1520
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 4674 (WV)
Surgery Physician Taxonomy 208600000X · Licence 5151014370 (MI)

Record details

NPI number1639707458
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 28, 2020
Last updated in NPPESJune 28, 2025
Certification dateJune 28, 2025
Mailing address3200 Maccorkle Ave Se, Charleston, WV 25304-1227

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