DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHYAM SAMPATH RAGHAVAN, M.D.

Active

SHYAM SAMPATH RAGHAVAN, M.D. is a Dermatopathology (Pathology) healthcare provider located in CHARLOTTESVILLE, Virginia. NPI 1124394572 is currently active in the NPPES registry. Verify at CMS.

Dermatopathology (Pathology) · CHARLOTTESVILLE, VA

Registration Details

NPI Number
1124394572
Provider Type
Individual
Gender
Male
NPI Issued
Mar 30, 2012 (14.193007290133 yrs)
Last Updated
Aug 8, 2023
Licenses
101269055 (VA)
101269055 (VA)
A127813 (CA)
DR.0070540 (CO)

Practice Information

Address
1215 LEE ST
CHARLOTTESVILLE, VA, 229082205
Browse VA providers · Browse ZIP 22908
Phone
8888823990
Fax
4342436499
Primary Specialty
Dermatopathology (Pathology)
207ZD0900X
Additional Specialty
Plastic Surgery
Additional Specialty
Dermatopathology (Pathology)

Other Dermatopathology (Pathology) Providers in CHARLOTTESVILLE, VA

Name Credential NPI
LINGLEI MA MD 1164504122
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.