Shahrooz S Kelishadi (NPI# 1831225952, PAC ID# 8921229725) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
| Nation Provider ID (NPI) | 1831225952 |
| PAC ID by PECOS | 8921229725 |
| Professional Enrollment ID | I20141020002491 |
| Full Name | Shahrooz S Kelishadi |
| Organization Legal Name | SSK PLASTIC SURGERY INC |
| Address |
500 Superior Ave Suite 340 Newport Beach CA 92663-3609 |
| Phone Number | 9495157874 |
| Gender | M |
| Medical School | UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Group Practice PAC ID | 2769603554 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050589 | PLACENTIA LINDA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 500 Superior Ave, Suite 340, Newport Beach, CA 92663-3609 | 9495157874 | SSK PLASTIC SURGERY INC |
| 500 Superior Ave, Newport Beach, CA 92663-3609 | 9495157874 | SSK PLASTIC SURGERY INC |
| Organization Legal Name | SSK PLASTIC SURGERY INC |
| Physicians | 1 |
| Street Address |
500 SUPERIOR AVE SUITE 340 |
| City | NEWPORT BEACH |
| State | CA |
| Zip | 92663-3609 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Y Moon | Family Medicine | Hoag Clinic | 500 Superior Ave, Suite 160, Newport Beach, CA 92663-3677 |
| Hien Ho | Nurse Practitioner | Hoag Clinic | 500 Superior Ave, Suite 160, Newport Beach, CA 92663-3677 |
| Mahnaz Behboodikhah | Cardiovascular Disease (cardiology) | 500 Superior Ave, Suite 345, Newport Beach, CA 92663-3680 | |
| Nam A Dao | Nurse Practitioner | Hoag Clinic | 500 Superior Ave, Suite 160, Newport Beach, CA 92663-3677 |
| Dennis T Jordanides | Internal Medicine | 500 Superior Ave, Suite 135, Newport Beach, CA 92663-3657 | |
| Samaan Sattarzadeh | Family Medicine | Hoag Clinic | 500 Superior Ave, Suite 160, Newport Beach, CA 92663-3677 |
| Alessandra Rolla | Physician Assistant | Pure Dermatology | 500 Superior Ave, Suite 335, Newport Beach, CA 92663-3657 |
| Demetra Bastas-bratkic | Nurse Practitioner | Hoag Clinic | 500 Superior Ave, Suite 160, Newport Beach, CA 92663-3677 |
| Kimberly A Dejong | Nurse Practitioner | Hoag Clinic | 500 Superior Ave, Suite 160, Newport Beach, CA 92663-3677 |
| Brooke A Hargrove | Obstetrics/gynecology | Pacific Womens Healthcare Associates Inc | 500 Superior Ave, Suite 310, Newport Beach, CA 92663-3609 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alan Freedman | Urology | 401 Old Newport Blvd, Suite 101, Newport Beach, CA 92663-0000 | |
| Sharon J Lucas | Clinical Social Worker | 34 Seabird Ct, Newport Beach, CA 92663-2109 | |
| Monica J Lucas | Physical Therapy | 1441 Superior Ave, Suite D, Newport Beach, CA 92663-2700 | |
| Bonnie Michelle Austin | Physical Therapy | Superior Wound Care and Physical Therapy Inc | 1441 Superior Ave, Suite D, Newport Beach, CA 92663-2700 |
| Jean O Galloway | Physical Therapy | Superior Rehabilitation Center, Inc | 1441 Superior Ave, Newport Beach, CA 92663-2700 |
| Michael W Summerlin | Psychologist, Clinical | 1441 Superior Ave, Suite F, Newport Beach, CA 92663-2704 | |
| Michael John Thorpe | Physical Therapy | Pegasus Physical Therapy Solutions, Inc. | 1419 Superior Ave, Suite 4, Newport Beach, CA 92663-2723 |
| Rafael A Penunuri | Family Medicine | 1419 Superior Ave, Suite 1, Newport Beach, CA 92663-2723 | |
| Jill G Byers | General Surgery | 320 Superior Ave, Suite 110, Newport Beach, CA 92663-2740 | |
| Robert I Hewlett | Pulmonary Disease | Newport Pulmonary Associates | 320 Superior Ave, Suite 200, Newport Beach, CA 92663-2741 |
| Find all physicians in zip 92663 | |||
| City | NEWPORT BEACH |
| Zip Code | 92663 |
| Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| City + Specialty | NEWPORT BEACH + PLASTIC AND RECONSTRUCTIVE SURGERY |
Please comment or provide details below to improve the information on Shahrooz S Kelishadi.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.