NPI 1336760677 · live from the CMS NPI Registry
Shayan Cheraghlou, MD
Dermatology in Bluefield, VA. National Provider Identifier 1336760677, active.
NPI record
| NPI | 1336760677 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 725 S College Ave, Bluefield, VA 24605 |
| Practice phone | 276-326-3376 |
| Enumerated | April 28, 2020 |
| Last updated | June 12, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology | 207N00000X | 35110 (WV) |
| Dermatology, MOHS-Micrographic Surgery | 207ND0101X | 81146 (CT) |
| Student in an Organized Health Care Education/Training Program | 390200000X | 709528 (TX) |
| Dermatology primary | 207N00000X | 0101285793 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.