National Provider Identifier Database

TYANA SHAW
Clinical & Laboratory Immunology


Contact Information

TYANA SHAW
4965 RIDGEVIEW DR
ANTIOCH, CA94531-7757
Phone: 510-703-2130
Fax:
Website:
Specialty Taxonomy Code
* Clinical & Laboratory Immunology 207RI0001X

* Indicates primary specialty

NPI Profile & details for TYANA SHAW

NPI Number 1669199642
Credentials
Entity Individual
Enumeration date 10/20/2022
Last updated 11/12/2022 - About 4 years ago
Sole proprietor1 No
Identifiers
  • CA License #: 207RI0001
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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