Provider Demographics
NPI:1003445909
Name:CHERAGHI, SEYEDEH NASIM (MD)
Entity type:Individual
Prefix:
First Name:SEYEDEH
Middle Name:NASIM
Last Name:CHERAGHI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 WANDERING MEADOWS LN
Mailing Address - Street 2:
Mailing Address - City:WILBRAHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01095-1364
Mailing Address - Country:US
Mailing Address - Phone:316-461-0543
Mailing Address - Fax:
Practice Address - Street 1:8266 ATLEE RD STE 330
Practice Address - Street 2:
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23116-1812
Practice Address - Country:US
Practice Address - Phone:804-325-8720
Practice Address - Fax:804-764-7351
Is Sole Proprietor?:No
Enumeration Date:2020-04-03
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
VA01012861042084N0400X
RIMD198652084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program