Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TYANA SHAW
ActiveClinical & Laboratory Immunology · ANTIOCH, CA
Registration Details
- NPI Number
- 1669199642
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 20, 2022 (3.5266562826773 yrs)
- Last Updated
- Nov 12, 2022
- License
-
207RI0001 (CA)
Practice Information
- Address
-
4965 RIDGEVIEW DRANTIOCH, CA, 945317757Browse 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.