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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TYANA SHAW

Active

TYANA SHAW is a Clinical & Laboratory Immunology healthcare provider located in ANTIOCH, California. NPI 1669199642 is currently active in the NPPES registry. Verify at CMS.

Clinical & Laboratory Immunology · ANTIOCH, CA

Registration Details

NPI Number
1669199642
Provider Type
Individual
Gender
Female
NPI Issued
Oct 20, 2022 (3.847302301785 yrs)
Last Updated
Nov 12, 2022
License
207RI0001 (CA)

Practice Information

Address
4965 RIDGEVIEW DR
ANTIOCH, CA, 945317757
Browse CA providers · Browse ZIP 94531
Phone
5107032130
Primary Specialty
Clinical & Laboratory Immunology
207RI0001X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.