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Licensing details for: A 127984

Name: KELISHADI, SHAHROOZ SEAN

License Type: Physician and Surgeon A

Primary Status: License Renewed & Current Primary Status Definition

School Name: University of Tennessee College of Medicine

Graduation Year: 2004

Address of Record

500 Superior Ave Ste 340
NEWPORT BEACH CA 92663-3609
ORANGE county
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Issuance Date

December 4, 2013

Expiration Date

December 31, 2027

Current Date / Time

August 10, 2026
6:43:50 AM

Public Record Actions

Public Documents

Survey Information

The following information is self-reported by the licensee and has not been verified by the Board.

Current Training Status
Not in Training
Postgraduate Training Years
9+
Primary Area of Practice
Plastic Surgery
Secondary Area of Practice
Not Applicable
ABMS Certifications
American Board of Plastic Surgery - Plastic Surgery
Are you retired?
No
Practice Activities
Direct Patient Care (including telehealth) - 40+ Hours
Percentage (%) of patient care hours spent on telehealth - 15
Training - 1-9 Hours
Research - 1-9 Hours
Administration - 10-19 Hours
Other - 1-9 Hours
Primary Practice Location
Zip - 92663
United States Primary Practice Location
Secondary Practice Location
Not Applicable
Are you Hispanic, Latino/a, or of Spanish origin?
Decline to State
Race
Decline to State
Language Fluency
Decline to State
Gender Identity
Male

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