Tyana Shaw
Tyana Shaw is a Clinical & Laboratory Immunology (Internal Medicine) Physician in Antioch, California. Licensed in California. Registered with an NPI since 2022.
- Licensed in
- CA
- In the registry since
- 2022
Practice location Address checks out
4965 Ridgeview DrAntioch, CA 94531-7757
Phone: (510) 703-2130
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Specialties & licences
| Clinical & Laboratory Immunology (Internal Medicine) Physician (primary) | Taxonomy 207RI0001X · Licence 207RI0001 (CA) |
|---|
Record details
| NPI number | 1669199642 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 20, 2022 |
| Last updated in NPPES | November 12, 2022 |
| Certification date | November 12, 2022 |
| Mailing address | 4965 Ridgeview Dr, Antioch, CA 94531-7757 |