Provider Demographics
NPI:1225016322
Name:HO, BENG H (MD)
Entity Type:Individual
Prefix:DR
First Name:BENG
Middle Name:H
Last Name:HO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:105 SPRINGHALL DR
Mailing Address - Street 2:STE B
Mailing Address - City:GOOSE CREEK
Mailing Address - State:SC
Mailing Address - Zip Code:29445-5351
Mailing Address - Country:US
Mailing Address - Phone:843-553-9500
Mailing Address - Fax:843-797-8234
Practice Address - Street 1:105 SPRINGHALL DR
Practice Address - Street 2:STE B
Practice Address - City:GOOSE CREEK
Practice Address - State:SC
Practice Address - Zip Code:29445-5351
Practice Address - Country:US
Practice Address - Phone:843-553-9500
Practice Address - Fax:843-797-8234
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC07973207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCGP0317Medicaid
3674Medicare ID - Type Unspecified
SCGP0317Medicaid