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SHYAM SAMPATH RAGHAVAN M.D. NPI 1124394572


NPI Information

NPI: 1124394572
Provider Name: SHYAM SAMPATH RAGHAVAN, M.D.
Classification: Pathology - 207ZD0900X
Entity Type: Individual

Specialization: Dermatopathology

Organization: UNIVERSITY OF VIRGINIA PHYSICIANS GROUP

PECOS Registration: Yes

Address:
1215 LEE ST
CHARLOTTESVILLE, VA
ZIP 22908
Phone: (888) 882-3990
Get Directions

Shyam Sampath Raghavan, M.D. is a dermatopathology pathology in Charlottesville, VA with 12 years of experience. The provider is a dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy. Shyam Sampath Raghavan, M.D. NPI is 1124394572. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: STANFORD UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2012

The provider's business location address is:

1215 LEE ST
CHARLOTTESVILLE, VA
ZIP 22908-205
Phone: (888) 882-3990
Fax: (434) 243-6499

The NPI 1124394572 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/30/2012 and was last updated on 8/2/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
2207ZD0900XPathologyDermatopathology101269055VIRGINIAYes
3207ZP0102XPathologyAnatomic Pathology & Clinical Pathology101269055VIRGINIANo
4208200000XPlastic SurgeryA127813CALIFORNIANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.