{"npi":"1336760677","type":"NPI-1","status":"active","name":{"display":"Shayan Cheraghlou MD","other":[],"first":"SHAYAN","last":"CHERAGHLOU","credential":"MD"},"specialty":{"primary_taxonomy":"207N00000X","primary_taxonomy_description":"Dermatology","slug":"dermatology","schema_org_specialty":"Dermatologic","all":[{"code":"207N00000X","description":"Dermatology","primary":false,"state":"WV","license":"35110"},{"code":"207ND0101X","description":"Dermatology, Mohs Surgery","primary":false,"state":"CT","license":"81146"},{"code":"390200000X","description":"Student in an Organized Health Care Education/Training Program","primary":false,"state":"TX","license":"709528"},{"code":"207N00000X","description":"Dermatology","primary":true,"state":"VA","license":"0101285793"}]},"addresses":[{"purpose":"LOCATION","street_1":"725 S COLLEGE AVE","city":"BLUEFIELD","state":"VA","postal_code":"246051640","country_code":"US","phone":"2763263376"},{"purpose":"MAILING","street_1":"725 S COLLEGE AVE","city":"BLUEFIELD","state":"VA","postal_code":"246051640","country_code":"US","phone":"2154602117"}],"license":{"state":"VA","number":"0101285793"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20250602003484","type_code":"14-D7","type_desc":"PRACTITIONER - MICROGRAPHIC DERMATOLOGIC SURGERY (MDS)","state":"VA","pac_id":"8729597604"},{"enrlmt_id":"I20250603003749","type_code":"14-07","type_desc":"PRACTITIONER - DERMATOLOGY","state":"WV","pac_id":"8729597604"},{"enrlmt_id":"I20250617000953","type_code":"14-D7","type_desc":"PRACTITIONER - MICROGRAPHIC DERMATOLOGIC SURGERY (MDS)","state":"CT","pac_id":"8729597604"}]},"enumeration_date":"2020-04-28","last_updated":"2025-06-12","_meta":{"source":"NPPES","snapshot_date":"2025-06-12","doc_url":"https://findmynpi.com/api"}}