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

Individual provider Psychiatry Physician · NPI 1164615589

Dr. Anish Sunderrajan Shah, MD is a Psychiatry in Santa Rosa, California. Qualified in 2005, 21 years ago. Practices with Siyan Clinical Corporation, a 20-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
21
Licensed in
CA
In the registry since
2007
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

480 Tesconi Cir Ste B
Santa Rosa, CA 95401-4691
Phone: (707) 206-7268
Fax: (707) 206-7254
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence A84992 (CA)

Record details

NPI number1164615589
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 20, 2007
Last updated in NPPESFebruary 8, 2018

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Siyan Clinical Corporation — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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