Dr. Sooraj M Shah
Dr. Sooraj M Shah is an Interventional Cardiology in Costa Mesa, California. Qualified in 2005, 21 years ago. Works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California and New York.
- Years since qualifying
- 21
- Licensed in
- CA, NY
- In the registry since
- 2008
- Specialties on file
- 4
Practice location Address checks out
1640 Newport Blvd Ste 445Costa Mesa, CA 92627-7730
Phone: (714) 241-9070
Fax: (949) 889-2260
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 9940 Talbert Ave Ste 101, Fountain Valley, CA 92708-5153 — (714) 241-9070
Specialties & licences
| Cardiovascular Disease Physician (primary) | Taxonomy 207RC0000X · Licence C170604 (CA) |
|---|---|
| Adult Congenital Heart Disease Physician | Taxonomy 207RA0002X · Licence 276483 (NY) |
| Cardiovascular Disease Physician | Taxonomy 207RC0000X · Licence 276483 (NY) |
| Interventional Cardiology Physician | Taxonomy 207RI0011X · Licence 276483 (NY) |
Record details
| NPI number | 1902041643 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 10, 2008 |
| Last updated in NPPES | October 16, 2024 |
| Certification date | October 16, 2024 |
Medicare enrollment
| Medicare specialty | INTERVENTIONAL CARDIOLOGY |
|---|---|
| Medical school | OTHER |
| Graduated | 2005 (21 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |