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General NPI Number Information
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NPI Number | 1952510851
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Entity Type | Individual
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Provider Name | USMAN S SHAH MD
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Gender | Male
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 03/24/2022
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Provider Practice Location Address
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Address Line | 1 HOAG DR
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City | NEWPORT BEACH
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State | CA
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Zip | 92663-4162
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Country | US
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Telephone | 949-764-6876
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Fax |
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Provider Business Mailing Address
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Address Line | 1 HOAG DRIVE 3 NORTH INTENSIVIST OFFICE
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City | NEWPORT BEACH
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State | CA
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Zip | 92663
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Country | US
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Telephone | 442-600-5128
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 57011000
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | A106624
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | MD-14844
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License Number State | HI
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Taxonomy #4
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | A106624
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License Number State | CA
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