Shayan Cheraghlou, MD is a
Dermatology physician based in Bluefield, Virginia. Shayan Cheraghlou is licensed to practice in Virginia (license number 0101285793) and his current practice location is 725 S College Ave, Bluefield, Virginia. He can be reached at his office (for appointments etc.) via phone at
(276) 326-3376.
NPI number for Shayan Cheraghlou is 1336760677 and his current mailing address is 725 S College Ave, Bluefield, Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1336760677.
Physician's Profile
| Full Name | Shayan Cheraghlou |
|---|
| Gender | Male |
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| Speciality | Dermatology |
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| Location | 725 S College Ave, Bluefield, Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1336760677
- Provider Enumeration Date: 04/28/2020
- Last Update Date: 05/13/2025
Medical Identifiers
Medical identifiers for Shayan Cheraghlou such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336760677 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207N00000X | Dermatology | 35110 (West Virginia) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 709528 (Texas) | Secondary |
| 207N00000X | Dermatology | 0101285793 (Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shayan Cheraghlou is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Shayan Cheraghlou, MD
725 S College Ave,
Bluefield, VA 24605-1640
Ph: (215) 460-2117 | Shayan Cheraghlou, MD
725 S College Ave,
Bluefield, VA 24605-1640
Ph: (276) 326-3376 |
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