Individual
SHYAM SAMPATH RAGHAVAN
Active
Individual
SHYAM SAMPATH RAGHAVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
101269055
VA
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
DR.0070540
CO
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
101269055
VA
208200000X
Plastic Surgery Physician
A127813
CA
Other
Enumeration date
03/30/2012
Last updated
08/08/2023
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