Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shyam Sampath Raghavan, MD

Individual provider Dermatopathology (Pathology) Physician · NPI 1124394572

Shyam Sampath Raghavan, MD is a Pathology in Charlottesville, Virginia. Graduated from Stanford University School of Medicine in 2012, 14 years ago. Practices with University Physicians Incorporated, a 3,148-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California, Colorado and Virginia.

Years since qualifying
14
Trained at
Stanford University School of Medicine
Licensed in
CA, CO, VA
In the registry since
2012
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1215 Lee St
Charlottesville, VA 22908-2205
Phone: (888) 882-3990
Fax: (434) 243-6499
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 12605 E 16th Ave, Aurora, CO 80045-2545 — (720) 848-0000

Specialties & licences

Dermatopathology (Pathology) Physician (primary) Taxonomy 207ZD0900X · Licence DR.0070540 (CO)
Dermatopathology (Pathology) Physician Taxonomy 207ZD0900X · Licence 101269055 (VA)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence 101269055 (VA)
Plastic Surgery Physician Taxonomy 208200000X · Licence A127813 (CA)

Record details

NPI number1124394572
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 30, 2012
Last updated in NPPESAugust 8, 2023
Certification dateAugust 8, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolSTANFORD UNIVERSITY SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice University Physicians Incorporated — 3148 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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