Active NPI
Shreya Deoghare, MBBS, MD
- Dermatology Physician
- Charleston, SC
National Provider Identifier
1720909393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- AL00000
- Practice address
- 135 Rutledge Ave
Charleston, SC 29425-8903 - Phone
- (843) 300-9086
- NPI assigned
- Jul 21, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | AL00000 | SC | Primary |
Addresses
Primary practice location
135 Rutledge Ave
Charleston, SC 29425-8903
Mailing address
135 Rutledge Ave
Charleston, SC 29425-8903
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784592000000",
"number": "1720909393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 RUTLEDGE AVE",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294258903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 RUTLEDGE AVE",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294258903",
"telephone_number": "843-300-9086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEOGHARE",
"first_name": "SHREYA",
"credential": "MBBS, MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-07-21",
"last_updated": "2026-07-21",
"certification_date": "2026-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "SC",
"license": "AL00000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
- Dentistry for Children of South Carolina, PC
- Dentistry for Children of South Carolina, PC
- Dentists of West Ashley, PC
- Brittany Denton
- William Jay Denton, OD, FAAO
- Bradley Joseph Depaoli, MD
- Jessica Depaoli, LISW-CP
- Department of Veteran Affairs, Ralph H. Johnson Medical Center
- Department of Veterans Affairs
- Department of Vetrans Affairs
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.