Lookup NPI Numbers from the NPI Registry
NPI Profile for TYANA SHAW in ANTIOCH, CA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Clinical & Laboratory Immunology |
207RI0001X | 11 | Physician/Internal Medicine |
| NPI # | 1669199642 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 10/20/2022 | |
| Last updated | 11/12/2022 - About 4 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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TYANA SHAW
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TYANA SHAW